Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.92 / $90.31 / $100.41	Facility		$67.92	$90.31	$100.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.04 / $85.07 / $103.09	Professional		$71.04	$85.07	$103.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.44 / $141.44 / $141.44	Facility		$141.44	$141.44	$141.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.31 / $102.94 / $116.46	Professional		$100.31	$102.94	$116.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.37 / $106.08 / $233.38	Facility		$13.37	$106.08	$233.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $141.44 / $222.04	Professional		$15.13	$141.44	$222.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.41 / $96.60 / $194.14	Facility		$94.41	$96.60	$194.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.11 / $96.60 / $671.62	Professional		$82.11	$96.60	$671.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.29 / $11.90 / $119.10	Professional		$9.29	$11.90	$119.10
United Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $90.25 / $141.41	Professional		$53.47	$90.25	$141.41