Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.37 / $195.90 / $195.90	Facility		$188.37	$195.90	$195.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.48 / $200.81 / $224.91	Professional		$171.48	$200.81	$224.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $246.39 / $395.80 / $415.99	Facility		$246.39	$395.80	$415.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.42 / $227.42 / $258.69	Professional		$227.42	$227.42	$258.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $296.85 / $558.08 / $675.12	Facility		$296.85	$558.08	$675.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $376.01 / $494.75 / $653.07	Professional		$376.01	$494.75	$653.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.45 / $277.45 / $485.63	Facility		$277.45	$277.45	$485.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.54 / $277.45 / $2,035.44	Professional		$202.54	$277.45	$2,035.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $346.58	Professional		$100.00	$100.00	$346.58
United Facility/Professional Professional Modifier Low / Median / High Price $131.63 / $197.46 / $334.71	Professional		$131.63	$197.46	$334.71