Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $158.49 / $275.42	Facility		$93.33	$158.49	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $91.20 / $120.23	Professional		$85.11	$91.20	$120.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $114.82 / $120.23	Facility		$97.72	$114.82	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $85.11	Professional		$21.88	$21.88	$85.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $162.18 / $218.78	Facility		$114.82	$162.18	$218.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $190.55	Professional		$123.03	$151.36	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $218.78 / $218.78	Facility		$74.13	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $181.97 / $562.34	Professional		$52.48	$181.97	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $97.72 / $165.96	Professional		$48.98	$97.72	$165.96