Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.40 / $119.67 / $119.67	Facility		$115.40	$119.67	$119.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.14 / $115.40 / $122.80	Professional		$99.14	$115.40	$122.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.76 / $224.52 / $235.97	Facility		$139.76	$224.52	$235.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.50 / $114.54 / $122.25	Professional		$114.50	$114.54	$122.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $168.39 / $303.10 / $365.81	Facility		$168.39	$303.10	$365.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.29 / $280.64 / $370.46	Professional		$213.29	$280.64	$370.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $125.61 / $263.11	Facility		$125.61	$125.61	$263.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $179.11 / $305.91	Professional		$91.70	$179.11	$305.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.41 / $130.94 / $160.68	Professional		$105.41	$130.94	$160.68
United Facility/Professional Professional Modifier Low / Median / High Price $74.68 / $108.65 / $148.02	Professional		$74.68	$108.65	$148.02