Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.16 / $116.65 / $116.65	Facility		$89.16	$116.65	$116.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.16 / $125.36 / $176.71	Professional		$89.16	$125.36	$176.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.00 / $46.00 / $70.00	Facility		$46.00	$46.00	$70.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $85.00 / $100.00	Professional		$40.00	$85.00	$100.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.25 / $265.69 / $265.69	Facility		$218.25	$265.69	$265.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.51 / $237.23 / $427.01	Professional		$185.51	$237.23	$427.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.96 / $248.86 / $248.86	Facility		$183.96	$248.86	$248.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $183.96 / $183.96	Professional		$183.96	$183.96	$183.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $215.05 / $221.50	Professional		$215.05	$215.05	$221.50