Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.54 / $103.54 / $220.01	Facility		$103.54	$103.54	$220.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $103.54 / $107.42	Professional		$103.54	$103.54	$107.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.62 / $131.90 / $131.90	Facility		$126.62	$131.90	$131.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.88 / $111.85 / $111.85	Professional		$83.88	$111.85	$111.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.24 / $103.49 / $137.97	Facility		$86.24	$103.49	$137.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.30 / $84.76 / $86.24	Professional		$73.30	$84.76	$86.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.33 / $113.33 / $113.33	Facility		$113.33	$113.33	$113.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $473.95 / $473.95	Professional		$139.13	$473.95	$473.95
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 $129.41 / $129.41 / $129.41	Professional		$129.41	$129.41	$129.41