Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.12 / $81.37 / $84.39	Facility		$51.12	$81.37	$84.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.91 / $81.37 / $92.90	Professional		$69.91	$81.37	$92.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.55 / $158.32 / $166.39	Facility		$98.55	$158.32	$166.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.05 / $82.35 / $84.87	Professional		$74.05	$82.35	$84.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.74 / $220.40 / $253.49	Facility		$118.74	$220.40	$253.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $150.40 / $196.79 / $261.23	Professional		$150.40	$196.79	$261.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $185.53	Facility		$88.85	$88.85	$185.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $88.85 / $756.31	Professional		$64.86	$88.85	$756.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $100.89 / $126.11	Professional		$82.72	$100.89	$126.11
United Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $76.00 / $107.51	Professional		$52.66	$76.00	$107.51