Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.07 / $103.83 / $107.68	Facility		$55.07	$103.83	$107.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.89 / $97.90 / $107.68	Professional		$80.89	$97.90	$107.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.75 / $202.01 / $212.31	Facility		$125.75	$202.01	$212.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.72 / $88.72 / $94.49	Professional		$88.72	$88.72	$94.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.51 / $261.81 / $299.22	Facility		$151.51	$261.81	$299.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $179.51 / $242.41 / $333.32	Professional		$179.51	$242.41	$333.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $132.63 / $236.74	Facility		$132.63	$132.63	$236.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.83 / $132.63 / $821.86	Professional		$96.83	$132.63	$821.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.56 / $128.74 / $160.92	Professional		$105.56	$128.74	$160.92
United Facility/Professional Professional Modifier Low / Median / High Price $62.20 / $91.00 / $125.98	Professional		$62.20	$91.00	$125.98