Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.39 / $99.89 / $103.59	Facility		$69.39	$99.89	$103.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.82 / $103.59 / $136.71	Professional		$85.82	$103.59	$136.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.99 / $194.36 / $204.27	Facility		$120.99	$194.36	$204.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.03 / $111.80 / $124.17	Professional		$95.03	$111.80	$124.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $145.77 / $274.05 / $369.28	Facility		$145.77	$274.05	$369.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.36 / $262.39 / $356.34	Professional		$194.36	$262.39	$356.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $119.29 / $240.94	Facility		$119.29	$119.29	$240.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $119.29 / $1,009.84	Professional		$87.08	$119.29	$1,009.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.57 / $123.87 / $154.83	Professional		$101.57	$123.87	$154.83
United Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $96.96 / $155.49	Professional		$64.64	$96.96	$155.49