Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.85 / $77.56 / $80.43	Facility		$54.85	$77.56	$80.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.63 / $80.43 / $95.09	Professional		$66.63	$80.43	$95.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.94 / $150.90 / $158.60	Facility		$93.94	$150.90	$158.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.58 / $88.37 / $91.38	Professional		$70.58	$88.37	$91.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.18 / $212.77 / $283.26	Facility		$113.18	$212.77	$283.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $203.60 / $248.99	Professional		$150.47	$203.60	$248.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.79 / $97.79 / $197.71	Facility		$97.79	$97.79	$197.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $97.79 / $828.65	Professional		$71.39	$97.79	$828.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.85 / $96.17 / $120.21	Professional		$78.85	$96.17	$120.21
United Facility/Professional Facility Modifier Low / Median / High Price $63.81 / $74.61 / $87.83	Facility		$63.81	$74.61	$87.83
United Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $75.28 / $115.20	Professional		$50.19	$75.28	$115.20