Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.96 / $153.12 / $674.48	Facility		$101.96	$153.12	$674.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.96 / $125.38 / $150.44	Professional		$103.96	$125.38	$150.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.41 / $235.22 / $247.22	Facility		$146.41	$235.22	$247.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.03 / $114.14 / $127.31	Professional		$110.03	$114.14	$127.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.42 / $327.54 / $376.73	Facility		$176.42	$327.54	$376.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $223.46 / $292.45 / $388.11	Professional		$223.46	$292.45	$388.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $130.59 / $275.64	Facility		$130.59	$130.59	$275.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $176.78 / $243.66	Professional		$95.33	$176.78	$243.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.96 / $176.79 / $220.98	Professional		$144.96	$176.79	$220.98
United Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $112.96 / $155.08	Professional		$78.23	$112.96	$155.08