Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.73 / $95.64 / $99.18	Facility		$50.73	$95.64	$99.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.42 / $75.68 / $99.18	Professional		$66.42	$75.68	$99.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.83 / $186.08 / $195.57	Facility		$115.83	$186.08	$195.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $81.72 / $87.03	Professional		$68.00	$81.72	$87.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.56 / $221.95 / $269.82	Facility		$139.56	$221.95	$269.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $160.49 / $223.30 / $307.02	Professional		$160.49	$223.30	$307.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.28 / $90.28 / $218.05	Facility		$90.28	$90.28	$218.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $90.28 / $724.93	Professional		$65.90	$90.28	$724.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.24 / $118.59 / $148.23	Professional		$97.24	$118.59	$148.23
United Facility/Professional Professional Modifier Low / Median / High Price $53.65 / $83.82 / $122.67	Professional		$53.65	$83.82	$122.67