Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.83 / $111.46 / $115.59	Facility		$78.83	$111.46	$115.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.76 / $114.52 / $121.78	Professional		$95.76	$114.52	$121.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $216.86 / $227.92	Facility		$135.00	$216.86	$227.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.43 / $127.06 / $132.15	Professional		$101.43	$127.06	$132.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.65 / $305.77 / $392.32	Facility		$162.65	$305.77	$392.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $206.02 / $271.08 / $357.82	Professional		$206.02	$271.08	$357.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.51 / $135.51 / $284.00	Facility		$135.51	$135.51	$284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.92 / $135.51 / $1,190.34	Professional		$98.92	$135.51	$1,190.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.33 / $138.21 / $172.76	Professional		$113.33	$138.21	$172.76
United Facility/Professional Professional Modifier Low / Median / High Price $72.13 / $108.19 / $144.90	Professional		$72.13	$108.19	$144.90