Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.84 / $125.87 / $682.77	Facility		$106.84	$125.87	$682.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.80 / $157.34 / $175.00	Professional		$122.80	$157.34	$175.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.48 / $138.15 / $161.33	Facility		$46.48	$138.15	$161.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.83 / $46.48 / $61.40	Professional		$41.83	$46.48	$61.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $153.50 / $214.90 / $253.28	Facility		$153.50	$214.90	$253.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $153.50 / $199.55 / $345.38	Professional		$153.50	$199.55	$345.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.78 / $117.14 / $184.20	Facility		$99.78	$117.14	$184.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.17 / $176.76 / $739.87	Professional		$70.17	$176.76	$739.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.43 / $84.43 / $84.43	Professional		$84.43	$84.43	$84.43
United Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $92.10 / $168.85	Professional		$64.47	$92.10	$168.85