Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.88 / $136.97 / $142.05	Facility		$96.88	$136.97	$142.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.88 / $144.46 / $163.03	Professional		$96.88	$144.46	$163.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.90 / $266.51 / $280.10	Facility		$165.90	$266.51	$280.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.66 / $148.00 / $156.07	Professional		$124.66	$148.00	$156.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $199.88 / $375.78 / $485.65	Facility		$199.88	$375.78	$485.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $258.00 / $349.06 / $439.74	Professional		$258.00	$349.06	$439.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.81 / $175.81 / $348.43	Facility		$175.81	$175.81	$348.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $175.81 / $468.00	Professional		$128.34	$175.81	$468.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $169.85 / $212.31	Professional		$139.27	$169.85	$212.31
United Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $132.96 / $193.90	Professional		$88.64	$132.96	$193.90