Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $149.71 / $842.95	Facility		$13.33	$149.71	$842.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.71 / $155.40 / $189.51	Professional		$149.71	$155.40	$189.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.44 / $170.56 / $199.18	Facility		$44.44	$170.56	$199.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.52 / $43.36 / $75.80	Professional		$32.52	$43.36	$75.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $189.51 / $265.31 / $312.69	Facility		$189.51	$265.31	$312.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $202.78 / $246.36 / $379.02	Professional		$202.78	$246.36	$379.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.18 / $144.61 / $227.41	Facility		$123.18	$144.61	$227.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $213.16 / $913.44	Professional		$35.06	$213.16	$913.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.23 / $104.23 / $104.23	Professional		$104.23	$104.23	$104.23
United Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $67.78 / $189.51	Professional		$42.70	$67.78	$189.51