Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.12 / $108.64 / $154.01	Facility		$97.12	$108.64	$154.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.40 / $108.64 / $139.41	Professional		$93.40	$108.64	$139.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.00 / $46.00 / $46.00	Facility		$46.00	$46.00	$46.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.26 / $27.37 / $48.00	Professional		$23.26	$27.37	$48.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53,899.46 / $53,899.46 / $61,249.39	Facility		$53,899.46	$53,899.46	$61,249.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $80.00 / $186.03	Facility		$45.00	$80.00	$186.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.11 / $129.40 / $248.06	Professional		$79.11	$129.40	$248.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $133.66 / $158.51	Professional		$98.04	$133.66	$158.51