Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.57 / $125.20 / $129.84	Facility		$105.57	$125.20	$129.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.56 / $125.20 / $130.10	Professional		$107.56	$125.20	$130.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.63 / $243.60 / $256.02	Facility		$151.63	$243.60	$256.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.93 / $126.73 / $131.80	Professional		$113.93	$126.73	$131.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $182.70 / $339.12 / $390.09	Facility		$182.70	$339.12	$390.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $231.42 / $302.79 / $401.94	Professional		$231.42	$302.79	$401.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $135.22 / $285.47	Facility		$135.22	$135.22	$285.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $179.29 / $252.32	Professional		$98.72	$179.29	$252.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $116.97 / $179.95	Professional		$81.02	$116.97	$179.95