Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.25 / $119.14 / $123.55	Facility		$84.25	$119.14	$123.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.28 / $121.68 / $139.21	Professional		$104.28	$121.68	$139.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.30 / $231.80 / $243.62	Facility		$144.30	$231.80	$243.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.42 / $135.74 / $139.22	Professional		$108.42	$135.74	$139.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.85 / $325.39 / $382.47	Facility		$173.85	$325.39	$382.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $220.21 / $289.75 / $382.47	Professional		$220.21	$289.75	$382.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $144.84 / $301.44	Facility		$144.84	$144.84	$301.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $144.84 / $1,263.42	Professional		$105.73	$144.84	$1,263.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $121.13 / $147.72 / $184.66	Professional		$121.13	$147.72	$184.66
United Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $115.64 / $154.88	Professional		$77.09	$115.64	$154.88