Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.08 / $99.10 / $102.77	Facility		$70.08	$99.10	$102.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.08 / $103.62 / $116.95	Professional		$70.08	$103.62	$116.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.02 / $192.80 / $202.63	Facility		$120.02	$192.80	$202.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $112.91 / $119.57	Professional		$90.17	$112.91	$119.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.60 / $271.85 / $348.37	Facility		$144.60	$271.85	$348.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.07 / $250.39 / $318.12	Professional		$185.07	$250.39	$318.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.33 / $138.33 / $238.13	Facility		$138.33	$138.33	$238.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $137.82 / $998.08	Professional		$100.98	$137.82	$998.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.75 / $122.87 / $153.58	Professional		$100.75	$122.87	$153.58
United Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $96.19 / $147.19	Professional		$64.12	$96.19	$147.19