Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.31 / $143.12 / $148.84	Facility		$109.31	$143.12	$148.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.78 / $158.43 / $185.96	Professional		$127.78	$158.43	$185.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.20 / $300.72 / $316.06	Facility		$187.20	$300.72	$316.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.65 / $180.61 / $183.72	Professional		$140.65	$180.61	$183.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $225.54 / $424.02 / $558.22	Facility		$225.54	$424.02	$558.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $296.56 / $401.22 / $496.19	Professional		$296.56	$401.22	$496.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.68 / $225.68 / $396.77	Facility		$225.68	$225.68	$396.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $225.68 / $1,663.00	Professional		$164.75	$225.68	$1,663.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.15 / $191.65 / $239.56	Professional		$157.15	$191.65	$239.56
United Facility/Professional Professional Modifier Low / Median / High Price $100.02 / $157.16 / $231.18	Professional		$100.02	$157.16	$231.18