Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $77.62	Facility		$75.86	$75.86	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $125.89	Professional		$61.66	$75.86	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $151.36 / $158.49	Facility		$134.90	$151.36	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $75.86 / $81.28	Professional		$69.18	$75.86	$81.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $199.53 / $257.04	Facility		$109.65	$199.53	$257.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $234.42	Professional		$147.91	$181.97	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $234.42 / $234.42	Facility		$81.28	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $158.49 / $707.95	Professional		$60.26	$158.49	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $125.89	Professional		$77.62	$97.72	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $74.13 / $87.10	Facility		$64.57	$74.13	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $69.18 / $100.00	Professional		$48.98	$69.18	$100.00