Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $158.49	Facility		$134.90	$134.90	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $234.42	Professional		$114.82	$162.18	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $169.82	Professional		$125.89	$151.36	$169.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $363.08 / $467.74	Facility		$199.53	$363.08	$467.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $426.58	Professional		$269.15	$331.13	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $426.58 / $426.58	Facility		$177.83	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $257.04 / $1,288.25	Professional		$128.82	$257.04	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $380.19	Professional		$138.04	$173.78	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $138.04 / $204.17	Facility		$117.49	$138.04	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $204.17	Professional		$89.13	$131.83	$204.17