Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $204.17 / $354.81	Facility		$120.23	$204.17	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $120.23 / $177.83	Professional		$109.65	$120.23	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $147.91 / $154.88	Facility		$125.89	$147.91	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $204.17	Professional		$74.13	$123.03	$204.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $177.83 / $208.93	Facility		$147.91	$177.83	$208.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $295.12	Professional		$147.91	$186.21	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $239.88 / $239.88	Facility		$95.50	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $977.24 / $977.24	Professional		$75.86	$977.24	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $123.03 / $208.93	Professional		$61.66	$123.03	$208.93