Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.59 / $165.36 / $931.08	Facility		$116.59	$165.36	$931.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.36 / $171.64 / $209.32	Professional		$165.36	$171.64	$209.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.14 / $188.39 / $220.00	Facility		$112.14	$188.39	$220.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $109.44 / $160.75	Professional		$82.08	$109.44	$160.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $209.32 / $293.05 / $345.38	Facility		$209.32	$293.05	$345.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $223.97 / $272.12 / $418.64	Professional		$223.97	$272.12	$418.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.06 / $159.72 / $251.18	Facility		$136.06	$159.72	$251.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $235.44 / $1,008.92	Professional		$88.00	$235.44	$1,008.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $115.13 / $115.13	Professional		$115.13	$115.13	$115.13
United Facility/Professional Professional Modifier Low / Median / High Price $87.15 / $110.63 / $217.73	Professional		$87.15	$110.63	$217.73