Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.78 / $141.40 / $487.00	Facility		$89.78	$141.40	$487.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.50 / $89.78 / $115.04	Professional		$86.50	$89.78	$115.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.16 / $98.54 / $115.07	Facility		$68.16	$98.54	$115.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $57.25 / $57.25	Professional		$42.93	$57.25	$57.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.49 / $153.29 / $180.66	Facility		$109.49	$153.29	$180.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.15 / $142.34 / $218.98	Professional		$117.15	$142.34	$218.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.17 / $83.55 / $191.51	Facility		$71.17	$83.55	$191.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.03 / $125.55 / $527.74	Professional		$50.03	$125.55	$527.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.22 / $60.22 / $60.22	Professional		$60.22	$60.22	$60.22
United Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $67.81 / $131.38	Professional		$45.99	$67.81	$131.38