Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.15 / $102.91 / $558.22	Facility		$99.15	$102.91	$558.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.05 / $102.91 / $115.46	Professional		$90.05	$102.91	$115.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.12 / $112.95 / $131.90	Facility		$78.12	$112.95	$131.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $104.08 / $142.19	Professional		$61.98	$104.08	$142.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $175.70 / $207.08	Facility		$125.50	$175.70	$207.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.29 / $163.15 / $251.00	Professional		$134.29	$163.15	$251.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.58 / $95.77 / $150.60	Facility		$81.58	$95.77	$150.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.73 / $144.13 / $751.01	Professional		$63.73	$144.13	$751.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.03 / $69.03 / $69.03	Professional		$69.03	$69.03	$69.03
United Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $98.51 / $175.34	Professional		$52.71	$98.51	$175.34