Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.48 / $123.45 / $128.03	Facility		$65.48	$123.45	$128.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.73 / $96.76 / $128.03	Professional		$85.73	$96.76	$128.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.52 / $240.19 / $252.44	Facility		$149.52	$240.19	$252.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.88 / $105.49 / $112.34	Professional		$87.88	$105.49	$112.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $180.14 / $261.20 / $348.28	Facility		$180.14	$261.20	$348.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $207.16 / $288.23 / $396.31	Professional		$207.16	$288.23	$396.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $116.53 / $281.47	Facility		$116.53	$116.53	$281.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $116.53 / $975.52	Professional		$85.07	$116.53	$975.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.51 / $153.07 / $191.33	Professional		$125.51	$153.07	$191.33
United Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $91.72 / $91.72	Facility		$91.72	$91.72	$91.72
United Facility/Professional Professional Modifier Low / Median / High Price $69.25 / $108.19 / $190.04	Professional		$69.25	$108.19	$190.04