Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $145.97 / $151.81	Facility		$99.06	$145.97	$151.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.33 / $148.09 / $162.61	Professional		$130.33	$148.09	$162.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.94 / $306.73 / $322.37	Facility		$190.94	$306.73	$322.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.46 / $163.66 / $164.70	Professional		$143.46	$163.66	$164.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $230.05 / $427.10 / $491.27	Facility		$230.05	$427.10	$491.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $291.39 / $381.34 / $506.10	Professional		$291.39	$381.34	$506.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.29 / $170.29 / $359.45	Facility		$170.29	$170.29	$359.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $170.29 / $1,463.06	Professional		$144.75	$170.29	$1,463.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.43 / $170.50 / $204.93	Professional		$134.43	$170.50	$204.93
United Facility/Professional Professional Modifier Low / Median / High Price $102.02 / $153.02 / $209.50	Professional		$102.02	$153.02	$209.50