Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.87 / $83.71 / $86.81	Facility		$54.87	$83.71	$86.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.87 / $86.81 / $101.68	Professional		$54.87	$86.81	$101.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.39 / $162.87 / $171.18	Facility		$101.39	$162.87	$171.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $88.39 / $94.06	Professional		$76.18	$88.39	$94.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.15 / $229.65 / $302.89	Facility		$122.15	$229.65	$302.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $217.71 / $268.74	Professional		$160.91	$217.71	$268.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $194.45	Facility		$117.36	$117.36	$194.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $117.36 / $285.99	Professional		$85.67	$117.36	$285.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $103.81 / $129.76	Professional		$85.12	$103.81	$129.76
United Facility/Professional Professional Modifier Low / Median / High Price $54.17 / $75.43 / $115.23	Professional		$54.17	$75.43	$115.23