Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $76.09 / $95.52	Facility		$73.37	$76.09	$95.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.53 / $70.23 / $95.52	Professional		$55.53	$70.23	$95.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.26 / $122.50 / $128.75	Facility		$76.26	$122.50	$128.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.64 / $153.53 / $153.53	Professional		$91.64	$153.53	$153.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.88 / $165.38 / $202.13	Facility		$91.88	$165.38	$202.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.13 / $147.00 / $202.13	Professional		$104.13	$147.00	$202.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.79 / $128.79 / $142.72	Facility		$128.79	$128.79	$142.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $128.79 / $548.66	Professional		$94.02	$128.79	$548.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $153.53 / $191.91	Professional		$125.89	$153.53	$191.91
United Facility/Professional Professional Modifier Low / Median / High Price $61.41 / $94.23 / $136.46	Professional		$61.41	$94.23	$136.46