Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.69 / $108.49 / $112.50	Facility		$60.69	$108.49	$112.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.20 / $108.49 / $112.74	Professional		$93.20	$108.49	$112.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.38 / $211.07 / $221.83	Facility		$131.38	$211.07	$221.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.48 / $82.48 / $111.51	Professional		$82.48	$82.48	$111.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.30 / $293.87 / $338.15	Facility		$158.30	$293.87	$338.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $200.52 / $262.39 / $348.27	Professional		$200.52	$262.39	$348.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.11 / $149.11 / $247.34	Facility		$149.11	$149.11	$247.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $149.11 / $1,006.90	Professional		$108.85	$149.11	$1,006.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.55 / $132.38 / $165.47	Professional		$108.55	$132.38	$165.47
United Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $101.45 / $144.44	Professional		$70.20	$101.45	$144.44