Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $151.36	Facility		$144.54	$144.54	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $269.15	Professional		$131.83	$194.98	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $316.23 / $331.13	Facility		$281.84	$316.23	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $204.17	Professional		$147.91	$186.21	$204.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $416.87 / $537.03	Facility		$229.09	$416.87	$537.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $489.78	Professional		$309.03	$389.05	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $575.44 / $575.44	Facility		$263.03	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $1,737.80	Professional		$194.98	$263.03	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $263.03	Professional		$162.18	$204.17	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $204.17 / $234.42	Facility		$186.21	$204.17	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $245.47	Professional		$102.33	$169.82	$245.47