Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.03 / $133.75 / $138.71	Facility		$93.03	$133.75	$138.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.91 / $144.28 / $181.91	Professional		$114.91	$144.28	$181.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.99 / $260.23 / $273.50	Facility		$161.99	$260.23	$273.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.38 / $149.87 / $165.23	Professional		$127.38	$149.87	$165.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $195.17 / $366.92 / $494.44	Facility		$195.17	$366.92	$494.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $260.23 / $351.31 / $474.17	Professional		$260.23	$351.31	$474.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $159.91 / $343.86	Facility		$159.91	$159.91	$343.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $159.91 / $1,441.23	Professional		$116.74	$159.91	$1,441.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.99 / $165.85 / $207.31	Professional		$135.99	$165.85	$207.31
United Facility/Professional Professional Modifier Low / Median / High Price $86.55 / $129.83 / $208.18	Professional		$86.55	$129.83	$208.18