Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $113.32 / $194.32	Facility		$72.20	$113.32	$194.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $92.27 / $113.32	Professional		$61.52	$92.27	$113.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.00 / $202.00 / $202.00	Facility		$194.00	$202.00	$202.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $70.94 / $105.99	Professional		$60.29	$70.94	$105.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.02 / $130.84 / $154.53	Facility		$103.02	$130.84	$154.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $128.78 / $164.83	Professional		$103.02	$128.78	$164.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $78.00 / $126.54	Facility		$65.00	$78.00	$126.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.36 / $114.12 / $176.40	Professional		$84.36	$114.12	$176.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $72.62	Professional		$32.34	$32.34	$72.62
United Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $100.03 / $171.48	Professional		$78.48	$100.03	$171.48