Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.31 / $138.22 / $143.34	Facility		$73.31	$138.22	$143.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $113.09 / $143.34	Professional		$97.31	$113.09	$143.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.41 / $268.93 / $282.64	Facility		$167.41	$268.93	$282.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.72 / $118.12 / $125.79	Professional		$102.72	$118.12	$125.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $201.70 / $294.77 / $389.95	Facility		$201.70	$294.77	$389.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $239.08 / $322.72 / $443.73	Professional		$239.08	$322.72	$443.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $136.19 / $315.16	Facility		$136.19	$136.19	$315.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $136.19 / $1,094.72	Professional		$99.43	$136.19	$1,094.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.54 / $171.40 / $214.25	Professional		$140.54	$171.40	$214.25
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $77.53 / $117.40 / $177.29	Professional		$77.53	$117.40	$177.29