Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $208.93	Facility		$199.53	$199.53	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $363.08	Professional		$181.97	$263.03	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $426.58 / $446.68	Facility		$380.19	$426.58	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $281.84	Professional		$194.98	$251.19	$281.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $562.34 / $724.44	Facility		$316.23	$562.34	$724.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $676.08	Professional		$416.87	$524.81	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $776.25 / $776.25	Facility		$363.08	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $363.08 / $2,344.23	Professional		$263.03	$363.08	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $363.08	Professional		$218.78	$281.84	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $281.84 / $323.59	Facility		$275.42	$281.84	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $331.13	Professional		$138.04	$223.87	$331.13