Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.54 / $104.51 / $108.38	Facility		$65.54	$104.51	$108.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $108.29 / $119.99	Professional		$89.79	$108.29	$119.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.58 / $203.34 / $213.71	Facility		$126.58	$203.34	$213.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $98.64 / $109.27	Professional		$95.10	$98.64	$109.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $152.51 / $283.07 / $325.56	Facility		$152.51	$283.07	$325.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $193.17 / $252.74 / $335.51	Professional		$193.17	$252.74	$335.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $112.67 / $238.28	Facility		$112.67	$112.67	$238.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $112.67 / $967.52	Professional		$82.25	$112.67	$967.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.24 / $129.57 / $161.96	Professional		$106.24	$129.57	$161.96
United Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $97.45 / $134.05	Professional		$67.63	$97.45	$134.05