Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.70 / $105.75 / $109.66	Facility		$72.70	$105.75	$109.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.85 / $116.01 / $130.91	Professional		$90.85	$116.01	$130.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.07 / $205.74 / $216.23	Facility		$128.07	$205.74	$216.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.23 / $117.12 / $119.68	Professional		$96.23	$117.12	$119.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.31 / $290.08 / $410.80	Facility		$154.31	$290.08	$410.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $205.74 / $277.75 / $341.25	Professional		$205.74	$277.75	$341.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $142.94 / $260.35	Facility		$142.94	$142.94	$260.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $142.94 / $1,091.20	Professional		$104.35	$142.94	$1,091.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.51 / $131.12 / $163.90	Professional		$107.51	$131.12	$163.90
United Facility/Professional Professional Modifier Low / Median / High Price $68.43 / $102.65 / $164.59	Professional		$68.43	$102.65	$164.59