Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.95 / $84.82 / $87.96	Facility		$71.95	$84.82	$87.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $73.67 / $98.63	Professional		$64.04	$73.67	$98.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.95 / $141.29 / $148.50	Facility		$87.95	$141.29	$148.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.51 / $95.51 / $119.07	Professional		$95.51	$95.51	$119.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.97 / $190.74 / $233.13	Facility		$105.97	$190.74	$233.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.10 / $169.55 / $233.13	Professional		$120.10	$169.55	$233.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $133.72 / $182.46	Facility		$133.72	$133.72	$182.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $133.72 / $638.99	Professional		$97.62	$133.72	$638.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.03 / $145.16 / $181.46	Professional		$119.03	$145.16	$181.46
United Facility/Professional Professional Modifier Low / Median / High Price $66.15 / $102.71 / $145.50	Professional		$66.15	$102.71	$145.50