Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $97.72	Facility		$93.33	$93.33	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $158.49	Professional		$83.18	$107.15	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $186.21 / $194.98	Facility		$165.96	$186.21	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $112.20	Professional		$85.11	$104.71	$112.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $245.47 / $316.23	Facility		$138.04	$245.47	$316.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $288.40	Professional		$181.97	$229.09	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $323.59 / $323.59	Facility		$112.20	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $165.96 / $977.24	Professional		$81.28	$165.96	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $158.49	Professional		$95.50	$123.03	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $102.33 / $120.23	Facility		$89.13	$102.33	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $144.54	Professional		$60.26	$91.20	$144.54