Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.87 / $171.46 / $178.31	Facility		$123.87	$171.46	$178.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.08 / $178.79 / $206.90	Professional		$153.08	$178.79	$206.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.50 / $204.67 / $213.77	Professional		$168.50	$204.67	$213.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $270.20 / $507.98 / $647.29	Facility		$270.20	$507.98	$647.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $342.26 / $450.34 / $594.45	Professional		$342.26	$450.34	$594.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.83 / $302.83 / $422.20	Facility		$302.83	$302.83	$422.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $302.83 / $1,672.35	Professional		$257.41	$302.83	$1,672.35
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 $224.66 / $224.66 / $261.98	Facility		$224.66	$224.66	$261.98
United Facility/Professional Professional Modifier Low / Median / High Price $119.82 / $179.73 / $260.62	Professional		$119.82	$179.73	$260.62