Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $128.82	Facility		$123.03	$123.03	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $194.98	Professional		$81.28	$107.15	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $245.47 / $257.04	Facility		$218.78	$245.47	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $112.20	Professional		$87.10	$104.71	$112.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $323.59 / $416.87	Facility		$181.97	$323.59	$416.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $380.19	Professional		$239.88	$302.00	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $323.59 / $323.59	Facility		$117.49	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $199.53 / $977.24	Professional		$85.11	$199.53	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $208.93	Professional		$125.89	$162.18	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $91.20 / $104.71	Facility		$77.62	$91.20	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $151.36	Professional		$60.26	$107.15	$151.36