Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.91 / $130.83 / $736.64	Facility		$78.91	$130.83	$736.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.83 / $135.80 / $165.61	Professional		$130.83	$135.80	$165.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.09 / $149.05 / $174.06	Facility		$103.09	$149.05	$174.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.72 / $105.36 / $148.13	Professional		$66.72	$105.36	$148.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.61 / $231.85 / $273.26	Facility		$165.61	$231.85	$273.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.20 / $215.29 / $331.22	Professional		$177.20	$215.29	$331.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.65 / $126.38 / $198.73	Facility		$107.65	$126.38	$198.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $190.39 / $866.68	Professional		$75.79	$190.39	$866.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.09 / $91.09 / $91.09	Professional		$91.09	$91.09	$91.09
United Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $106.46 / $188.73	Professional		$66.23	$106.46	$188.73