Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.45 / $140.63 / $145.84	Facility		$99.45	$140.63	$145.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.81 / $145.84 / $152.52	Professional		$120.81	$145.84	$152.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.32 / $273.60 / $287.55	Facility		$170.32	$273.60	$287.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.97 / $160.21 / $163.91	Professional		$127.97	$160.21	$163.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $205.20 / $385.78 / $500.38	Facility		$205.20	$385.78	$500.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $259.92 / $342.00 / $451.44	Professional		$259.92	$342.00	$451.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $170.96 / $352.74	Facility		$170.96	$170.96	$352.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $170.96 / $1,478.44	Professional		$124.80	$170.96	$1,478.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.98 / $174.37 / $217.96	Professional		$142.98	$174.37	$217.96
United Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $136.49 / $182.81	Professional		$91.00	$136.49	$182.81