Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.96 / $105.25 / $109.15	Facility		$90.96	$105.25	$109.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.96 / $109.15 / $123.54	Professional		$90.96	$109.15	$123.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.48 / $204.78 / $215.22	Facility		$127.48	$204.78	$215.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.79 / $109.18 / $112.21	Professional		$95.79	$109.18	$112.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $153.59 / $288.74 / $368.00	Facility		$153.59	$288.74	$368.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $195.50 / $264.50 / $337.89	Professional		$195.50	$264.50	$337.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.51 / $116.51 / $243.79	Facility		$116.51	$116.51	$243.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.05 / $116.51 / $1,021.79	Professional		$85.05	$116.51	$1,021.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.19 / $153.90 / $192.37	Professional		$126.19	$153.90	$192.37
United Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $92.18 / $108.52	Facility		$78.84	$92.18	$108.52
United Facility/Professional Professional Modifier Low / Median / High Price $68.11 / $102.16 / $146.93	Professional		$68.11	$102.16	$146.93