Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.72 / $128.28 / $133.03	Facility		$90.72	$128.28	$133.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.21 / $135.62 / $154.11	Professional		$110.21	$135.62	$154.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.37 / $249.59 / $262.32	Facility		$155.37	$249.59	$262.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $146.16 / $150.94	Professional		$116.74	$146.16	$150.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $187.19 / $351.92 / $464.66	Facility		$187.19	$351.92	$464.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $243.88 / $329.96 / $411.82	Professional		$243.88	$329.96	$411.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.61 / $185.61 / $331.03	Facility		$185.61	$185.61	$331.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $185.61 / $1,387.44	Professional		$135.50	$185.61	$1,387.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.42 / $159.06 / $198.82	Professional		$130.42	$159.06	$198.82
United Facility/Professional Facility Modifier Low / Median / High Price $195.26 / $195.26 / $195.26	Facility		$195.26	$195.26	$195.26
United Facility/Professional Professional Modifier Low / Median / High Price $83.01 / $124.52 / $166.77	Professional		$83.01	$124.52	$166.77