Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $489.78 / $1,348.96	Facility		$173.78	$489.78	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $302.00	Professional		$154.88	$194.98	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $186.21 / $204.17	Professional		$169.82	$186.21	$204.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $489.78 / $630.96	Facility		$269.15	$489.78	$630.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $575.44	Professional		$363.08	$457.09	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $537.03 / $537.03	Facility		$275.42	$537.03	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $1,621.81	Professional		$234.42	$338.84	$1,621.81
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 Facility Modifier Low / Median / High Price $177.83 / $204.17 / $245.47	Facility		$177.83	$204.17	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $239.88	Professional		$120.23	$186.21	$239.88