Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.31 / $107.92 / $111.92	Facility		$76.31	$107.92	$111.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.72 / $107.92 / $116.77	Professional		$92.72	$107.92	$116.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.71 / $209.97 / $220.68	Facility		$130.71	$209.97	$220.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.21 / $122.96 / $126.11	Professional		$98.21	$122.96	$126.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.47 / $296.06 / $346.45	Facility		$157.47	$296.06	$346.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $199.47 / $262.45 / $346.45	Professional		$199.47	$262.45	$346.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $139.66 / $270.42	Facility		$139.66	$139.66	$270.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $139.66 / $1,133.42	Professional		$101.95	$139.66	$1,133.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $133.82 / $167.27	Professional		$109.73	$133.82	$167.27
United Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $104.75 / $167.98	Professional		$69.84	$104.75	$167.98