Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $139.16 / $139.16	Facility		$134.19	$139.16	$139.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.47 / $134.19 / $139.49	Professional		$117.47	$134.19	$139.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.53 / $261.10 / $274.42	Facility		$162.53	$261.10	$274.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.13 / $135.85 / $135.85	Professional		$122.13	$135.85	$135.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $195.83 / $363.58 / $418.21	Facility		$195.83	$363.58	$418.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $248.05 / $324.63 / $430.82	Professional		$248.05	$324.63	$430.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $168.00 / $305.98	Facility		$168.00	$168.00	$305.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $145.02 / $1,245.49	Professional		$122.64	$145.02	$1,245.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.84 / $125.52 / $172.14	Professional		$86.84	$125.52	$172.14