Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.93 / $99.78 / $103.47	Facility		$32.93	$99.78	$103.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.72 / $99.78 / $103.70	Professional		$85.72	$99.78	$103.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.84 / $194.12 / $204.02	Facility		$120.84	$194.12	$204.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $101.01 / $101.01	Professional		$90.80	$101.01	$101.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $145.59 / $270.31 / $310.94	Facility		$145.59	$270.31	$310.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $184.41 / $241.35 / $320.30	Professional		$184.41	$241.35	$320.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $107.78 / $227.48	Facility		$107.78	$107.78	$227.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $107.78 / $926.02	Professional		$78.68	$107.78	$926.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $113.21 / $140.40	Professional		$92.10	$113.21	$140.40
United Facility/Professional Facility Modifier Low / Median / High Price $72.93 / $85.28 / $100.39	Facility		$72.93	$85.28	$100.39
United Facility/Professional Professional Modifier Low / Median / High Price $64.22 / $93.22 / $127.98	Professional		$64.22	$93.22	$127.98