Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $112.20	Facility		$107.15	$107.15	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $177.83	Professional		$89.13	$107.15	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $213.80 / $223.87	Facility		$194.98	$213.80	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $114.82	Professional		$83.18	$83.18	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $281.84 / $371.54	Facility		$158.49	$281.84	$371.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $338.84	Professional		$208.93	$263.03	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $331.13 / $331.13	Facility		$147.91	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $1,000.00	Professional		$109.65	$177.83	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $177.83	Professional		$109.65	$138.04	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $100.00 / $117.49	Facility		$93.33	$100.00	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $144.54	Professional		$69.18	$97.72	$144.54