Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $83.18	Facility		$81.28	$81.28	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $134.90	Professional		$66.07	$81.28	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $162.18 / $169.82	Facility		$144.54	$162.18	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $81.28 / $85.11	Professional		$74.13	$81.28	$85.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $213.80 / $275.42	Facility		$117.49	$213.80	$275.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $251.19	Professional		$158.49	$199.53	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $251.19 / $251.19	Facility		$100.00	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $134.90 / $758.58	Professional		$72.44	$134.90	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $147.91	Professional		$91.20	$114.82	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $75.86 / $87.10	Facility		$69.18	$75.86	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $104.71	Professional		$52.48	$74.13	$104.71