Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.04 / $250.51 / $260.52	Facility		$172.04	$250.51	$260.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.66 / $256.63 / $280.14	Professional		$223.66	$256.63	$280.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.20 / $284.26 / $296.89	Professional		$246.20	$284.26	$296.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $394.79 / $735.81 / $867.21	Facility		$394.79	$735.81	$867.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $500.06 / $656.98 / $868.53	Professional		$500.06	$656.98	$868.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.61 / $420.61 / $616.85	Facility		$420.61	$420.61	$616.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.52 / $420.61 / $2,343.44	Professional		$357.52	$420.61	$2,343.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.06 / $262.60 / $355.76	Professional		$175.06	$262.60	$355.76