Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.04 / $113.63 / $117.84	Facility		$63.04	$113.63	$117.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $110.48 / $117.84	Professional		$96.43	$110.48	$117.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.62 / $221.07 / $232.34	Facility		$137.62	$221.07	$232.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.55 / $101.55 / $105.61	Professional		$101.55	$101.55	$105.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.80 / $295.47 / $337.68	Facility		$165.80	$295.47	$337.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $205.32 / $265.27 / $364.77	Professional		$205.32	$265.27	$364.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.01 / $144.01 / $259.07	Facility		$144.01	$144.01	$259.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $144.01 / $956.48	Professional		$105.13	$144.01	$956.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.53 / $140.90 / $176.12	Professional		$115.53	$140.90	$176.12
United Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $101.61 / $176.86	Professional		$71.68	$101.61	$176.86