Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.14 / $103.20 / $107.02	Facility		$64.14	$103.20	$107.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.98 / $98.58 / $107.02	Professional		$84.98	$98.58	$107.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.99 / $200.79 / $211.03	Facility		$124.99	$200.79	$211.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.87 / $103.33 / $105.98	Professional		$91.87	$103.33	$105.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.59 / $263.63 / $301.30	Facility		$150.59	$263.63	$301.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.75 / $240.95 / $331.30	Professional		$190.75	$240.95	$331.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.82 / $121.82 / $235.30	Facility		$121.82	$121.82	$235.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $121.82 / $956.14	Professional		$88.93	$121.82	$956.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.92 / $127.96 / $159.94	Professional		$104.92	$127.96	$159.94
United Facility/Professional Professional Modifier Low / Median / High Price $66.78 / $93.95 / $134.69	Professional		$66.78	$93.95	$134.69