Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.76 / $131.76 / $236.30	Facility		$131.76	$131.76	$236.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.76 / $203.67 / $366.14	Professional		$131.76	$203.67	$366.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.14 / $173.00 / $279.82	Professional		$95.14	$173.00	$279.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.78 / $167.69 / $197.64	Facility		$119.78	$167.69	$197.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $155.71 / $247.04 / $309.12	Professional		$155.71	$247.04	$309.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.82 / $223.23 / $255.55	Professional		$135.82	$223.23	$255.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $212.38 / $316.70 / $415.99	Professional		$212.38	$316.70	$415.99