Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.86 / $98.77 / $102.43	Facility		$69.86	$98.77	$102.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.86 / $98.77 / $106.87	Professional		$84.86	$98.77	$106.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.63 / $192.17 / $201.97	Facility		$119.63	$192.17	$201.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.89 / $112.54 / $117.05	Professional		$89.89	$112.54	$117.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.13 / $269.04 / $335.97	Facility		$144.13	$269.04	$335.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $192.17 / $240.21 / $317.08	Professional		$192.17	$240.21	$317.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.31 / $124.31 / $243.21	Facility		$124.31	$124.31	$243.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $121.65 / $1,019.38	Professional		$90.75	$121.65	$1,019.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.43 / $122.48 / $153.10	Professional		$100.43	$122.48	$153.10
United Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $95.87 / $128.41	Professional		$63.92	$95.87	$128.41