Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.30 / $175.47 / $604.32	Facility		$97.30	$175.47	$604.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $108.69 / $111.41	Professional		$97.30	$108.69	$111.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.57 / $122.27 / $142.79	Facility		$84.57	$122.27	$142.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $53.69 / $67.09	Professional		$40.26	$53.69	$67.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $135.86 / $190.20 / $224.17	Facility		$135.86	$190.20	$224.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $145.37 / $176.62 / $271.72	Professional		$145.37	$176.62	$271.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.31 / $103.68 / $323.83	Facility		$88.31	$103.68	$323.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $107.03 / $654.85	Professional		$63.25	$107.03	$654.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.72 / $74.72 / $74.72	Professional		$74.72	$74.72	$74.72
United Facility/Professional Professional Modifier Low / Median / High Price $57.06 / $63.25 / $149.44	Professional		$57.06	$63.25	$149.44