Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.44 / $194.35 / $202.12	Facility		$148.44	$194.35	$202.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.52 / $214.82 / $246.79	Professional		$173.52	$214.82	$246.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.20 / $408.36 / $429.19	Facility		$254.20	$408.36	$429.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.00 / $245.26 / $245.26	Professional		$191.00	$245.26	$245.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $306.27 / $575.79 / $740.80	Facility		$306.27	$575.79	$740.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $393.55 / $532.45 / $673.79	Professional		$393.55	$532.45	$673.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.52 / $299.52 / $526.79	Facility		$299.52	$299.52	$526.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.65 / $299.52 / $2,207.94	Professional		$218.65	$299.52	$2,207.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.73 / $238.16 / $292.27	Professional		$191.73	$238.16	$292.27
United Facility/Professional Professional Modifier Low / Median / High Price $135.82 / $209.19 / $312.20	Professional		$135.82	$209.19	$312.20