Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $173.78 / $338.84	Facility		$26.30	$173.78	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $107.15 / $131.83	Professional		$97.72	$107.15	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $134.90 / $141.25	Facility		$114.82	$134.90	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $53.70 / $93.33	Professional		$45.71	$53.70	$93.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $162.18 / $190.55	Facility		$134.90	$162.18	$190.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $269.15	Professional		$134.90	$169.82	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $323.59 / $323.59	Facility		$89.13	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $660.69 / $660.69	Professional		$69.18	$660.69	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $162.18	Professional		$57.54	$81.28	$162.18