Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.13 / $148.65 / $154.15	Facility		$105.13	$148.65	$154.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.70 / $170.67 / $207.11	Professional		$127.70	$170.67	$207.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.03 / $289.20 / $303.95	Facility		$180.03	$289.20	$303.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.94 / $169.35 / $188.11	Professional		$143.94	$169.35	$188.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $407.77 / $623.22	Facility		$216.90	$407.77	$623.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $289.20 / $390.42 / $539.84	Professional		$289.20	$390.42	$539.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.71 / $180.71 / $403.47	Facility		$180.71	$180.71	$403.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $180.71 / $1,691.05	Professional		$131.91	$180.71	$1,691.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.14 / $184.32 / $230.40	Professional		$151.14	$184.32	$230.40
United Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $144.28 / $231.36	Professional		$97.70	$144.28	$231.36