Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.29 / $172.61 / $240.94	Facility		$166.29	$172.61	$240.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.29 / $172.07 / $210.50	Professional		$166.29	$172.07	$210.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.83 / $101.83 / $101.83	Facility		$101.83	$101.83	$101.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $114.29 / $337.65	Professional		$102.86	$114.29	$337.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.04 / $169.10 / $294.25	Facility		$102.04	$169.10	$294.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.05 / $141.06 / $286.64	Professional		$115.05	$141.06	$286.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.58 / $157.19 / $257.04	Facility		$77.58	$157.19	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.94 / $262.05 / $528.11	Professional		$105.94	$262.05	$528.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $131.97 / $232.85 / $353.04	Professional		$131.97	$232.85	$353.04