Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $109.32 / $113.37	Facility		$77.31	$109.32	$113.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.92 / $118.27 / $152.31	Professional		$93.92	$118.27	$152.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.38 / $212.68 / $223.53	Facility		$132.38	$212.68	$223.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.85 / $124.54 / $138.34	Professional		$105.85	$124.54	$138.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $159.51 / $299.88 / $404.09	Facility		$159.51	$299.88	$404.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $212.68 / $287.12 / $397.01	Professional		$212.68	$287.12	$397.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.11 / $150.11 / $272.16	Facility		$150.11	$150.11	$272.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $150.11 / $1,140.70	Professional		$109.58	$150.11	$1,140.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $135.55 / $169.43	Professional		$111.15	$135.55	$169.43
United Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $106.10 / $162.76	Professional		$70.73	$106.10	$162.76