Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.86 / $102.17 / $575.24	Facility		$90.86	$102.17	$575.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.17 / $106.05 / $129.33	Professional		$102.17	$106.05	$129.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $116.40 / $135.93	Facility		$66.70	$116.40	$135.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.84 / $65.12 / $99.32	Professional		$48.84	$65.12	$99.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.33 / $181.06 / $213.39	Facility		$129.33	$181.06	$213.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $168.13 / $258.66	Professional		$138.38	$168.13	$258.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $98.69 / $155.19	Facility		$84.06	$98.69	$155.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.28 / $145.47 / $623.37	Professional		$52.28	$145.47	$623.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $71.13 / $71.13	Professional		$71.13	$71.13	$71.13
United Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $66.26 / $142.26	Professional		$54.32	$66.26	$142.26