Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.88 / $137.96 / $143.07	Facility		$117.88	$137.96	$143.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.80 / $132.76 / $169.32	Professional		$119.80	$132.76	$169.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.44 / $244.89 / $257.38	Facility		$152.44	$244.89	$257.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.66 / $189.89 / $197.68	Professional		$151.66	$189.89	$197.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.67 / $330.60 / $404.07	Facility		$183.67	$330.60	$404.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.16 / $293.87 / $404.07	Professional		$208.16	$293.87	$404.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $214.95 / $302.18	Facility		$214.95	$214.95	$302.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $214.95 / $1,129.76	Professional		$156.91	$214.95	$1,129.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.46 / $206.67 / $258.33	Professional		$169.46	$206.67	$258.33
United Facility/Professional Professional Modifier Low / Median / High Price $107.85 / $161.78 / $219.27	Professional		$107.85	$161.78	$219.27