Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $141.25	Facility		$134.90	$134.90	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $229.09	Professional		$120.23	$144.54	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $269.15 / $281.84	Facility		$245.47	$269.15	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $154.88	Professional		$123.03	$154.88	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $354.81 / $467.74	Facility		$199.53	$354.81	$467.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $426.58	Professional		$263.03	$331.13	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $489.78 / $489.78	Facility		$165.96	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $245.47 / $1,479.11	Professional		$120.23	$245.47	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $229.09	Professional		$138.04	$177.83	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $151.36 / $177.83	Facility		$131.83	$151.36	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $204.17	Professional		$87.10	$131.83	$204.17