Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $131.83 / $229.09	Facility		$77.62	$131.83	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $93.33	Professional		$64.57	$77.62	$93.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $95.50 / $100.00	Facility		$85.11	$95.50	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $104.71 / $104.71	Professional		$39.81	$104.71	$104.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $114.82 / $134.90	Facility		$95.50	$114.82	$134.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $190.55	Professional		$95.50	$120.23	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $186.21 / $186.21	Facility		$61.66	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $457.09 / $457.09	Professional		$47.86	$457.09	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $63.10 / $112.20	Professional		$39.81	$63.10	$112.20