Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $111.44 / $191.56	Facility		$71.40	$111.44	$191.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $103.35 / $177.67	Professional		$71.40	$103.35	$177.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.00 / $202.00 / $202.00	Facility		$202.00	$202.00	$202.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $84.94 / $114.03	Professional		$72.19	$84.94	$114.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.68 / $141.83 / $203.36	Facility		$101.68	$141.83	$203.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.31 / $126.64 / $167.16	Professional		$101.31	$126.64	$167.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $78.00 / $124.79	Facility		$65.00	$78.00	$124.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $116.75 / $182.51	Professional		$83.26	$116.75	$182.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $75.31	Professional		$32.34	$32.34	$75.31
United Facility/Professional Professional Modifier Low / Median / High Price $76.68 / $97.91 / $167.55	Professional		$76.68	$97.91	$167.55