Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.25 / $177.05 / $184.13	Facility		$161.25	$177.05	$184.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.16 / $179.60 / $197.21	Professional		$161.16	$179.60	$197.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.58 / $372.02 / $390.99	Facility		$231.58	$372.02	$390.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $198.52 / $222.31	Professional		$174.00	$198.52	$222.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $279.02 / $517.99 / $595.86	Facility		$279.02	$517.99	$595.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $353.42 / $462.49 / $613.83	Professional		$353.42	$462.49	$613.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.35 / $239.35 / $435.96	Facility		$239.35	$239.35	$435.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $206.62 / $1,774.53	Professional		$174.73	$206.62	$1,774.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.44 / $223.71 / $279.63	Professional		$183.44	$223.71	$279.63
United Facility/Professional Professional Modifier Low / Median / High Price $123.73 / $185.59 / $254.10	Professional		$123.73	$185.59	$254.10