Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.22 / $136.05 / $141.09	Facility		$96.22	$136.05	$141.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.88 / $141.09 / $155.19	Professional		$116.88	$141.09	$155.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.78 / $264.70 / $278.20	Facility		$164.78	$264.70	$278.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.81 / $155.01 / $156.19	Professional		$123.81	$155.01	$156.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $198.53 / $373.23 / $462.32	Facility		$198.53	$373.23	$462.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $251.47 / $332.29 / $436.76	Professional		$251.47	$332.29	$436.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.40 / $165.40 / $350.95	Facility		$165.40	$165.40	$350.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $165.40 / $1,470.92	Professional		$120.74	$165.40	$1,470.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.33 / $168.70 / $210.87	Professional		$138.33	$168.70	$210.87
United Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $132.05 / $202.08	Professional		$88.04	$132.05	$202.08