Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.09 / $94.14 / $122.83	Facility		$83.09	$94.14	$122.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.72 / $94.14 / $122.83	Professional		$79.72	$94.14	$122.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.48 / $173.48 / $173.48	Facility		$173.48	$173.48	$173.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.31 / $107.31 / $127.78	Professional		$107.31	$107.31	$127.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $140.87 / $275.07	Facility		$17.19	$140.87	$275.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $173.48 / $272.35	Professional		$18.55	$173.48	$272.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.30 / $120.30 / $202.37	Facility		$120.30	$120.30	$202.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $120.30 / $836.32	Professional		$102.26	$120.30	$836.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.08 / $139.13 / $146.08	Professional		$114.08	$139.13	$146.08
United Facility/Professional Professional Modifier Low / Median / High Price $62.67 / $109.78 / $172.01	Professional		$62.67	$109.78	$172.01