Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.29 / $194.96 / $445.32	Facility		$105.29	$194.96	$445.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $142.63 / $206.81	Professional		$142.62	$142.63	$206.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.05 / $57.05 / $57.05	Facility		$57.05	$57.05	$57.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $63.35 / $74.00	Professional		$57.05	$63.35	$74.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $199.68 / $271.00	Facility		$142.63	$199.68	$271.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $178.29 / $235.34	Professional		$142.63	$178.29	$235.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.71 / $108.84 / $188.20	Facility		$92.71	$108.84	$188.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $142.63 / $687.48	Professional		$71.59	$142.63	$687.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $149.76 / $192.55	Professional		$142.63	$149.76	$192.55
United Facility/Professional Professional Modifier Low / Median / High Price $89.70 / $142.63 / $158.79	Professional		$89.70	$142.63	$158.79