Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $107.87 / $111.86	Facility		$68.20	$107.87	$111.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.67 / $107.87 / $112.12	Professional		$92.67	$107.87	$112.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.63 / $209.86 / $220.56	Facility		$130.63	$209.86	$220.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $101.82 / $114.28	Professional		$98.15	$101.82	$114.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.40 / $292.24 / $339.52	Facility		$157.40	$292.24	$339.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $199.37 / $260.93 / $346.27	Professional		$199.37	$260.93	$346.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.05 / $147.05 / $245.93	Facility		$147.05	$147.05	$245.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $116.56 / $1,010.37	Professional		$107.35	$116.56	$1,010.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.66 / $133.74 / $167.17	Professional		$109.66	$133.74	$167.17
United Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $100.88 / $138.34	Professional		$69.80	$100.88	$138.34