Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.81 / $125.96 / $130.63	Facility		$66.81	$125.96	$130.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.53 / $110.10 / $130.63	Professional		$87.53	$110.10	$130.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.56 / $245.07 / $257.57	Facility		$152.56	$245.07	$257.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.72 / $107.64 / $114.63	Professional		$89.72	$107.64	$114.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.80 / $294.26 / $367.41	Facility		$183.80	$294.26	$367.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $211.50 / $294.08 / $404.37	Professional		$211.50	$294.08	$404.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.23 / $126.23 / $287.20	Facility		$126.23	$126.23	$287.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $126.23 / $1,040.20	Professional		$92.15	$126.23	$1,040.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.07 / $156.19 / $195.23	Professional		$128.07	$156.19	$195.23
United Facility/Professional Professional Modifier Low / Median / High Price $70.65 / $106.98 / $152.83	Professional		$70.65	$106.98	$152.83