Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.24 / $121.70 / $660.14	Facility		$117.24	$121.70	$660.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $121.70 / $148.41	Professional		$117.24	$121.70	$148.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.39 / $133.57 / $155.97	Facility		$92.39	$133.57	$155.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $123.12 / $168.16	Professional		$73.29	$123.12	$168.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $148.41 / $207.77 / $244.88	Facility		$148.41	$207.77	$244.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.80 / $192.93 / $296.82	Professional		$158.80	$192.93	$296.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.47 / $113.26 / $178.09	Facility		$96.47	$113.26	$178.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $170.57 / $953.00	Professional		$75.45	$170.57	$953.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.63 / $81.63 / $81.63	Professional		$81.63	$81.63	$81.63
United Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $124.44 / $207.40	Professional		$59.36	$124.44	$207.40