Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.87 / $140.07 / $145.66	Facility		$96.87	$140.07	$145.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.06 / $145.66 / $173.25	Professional		$125.06	$145.66	$173.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.21 / $294.32 / $309.33	Facility		$183.21	$294.32	$309.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.66 / $160.06 / $175.88	Professional		$137.66	$160.06	$175.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $220.74 / $397.33 / $520.05	Facility		$220.74	$397.33	$520.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $279.60 / $373.80 / $485.63	Professional		$279.60	$373.80	$485.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.52 / $166.52 / $344.90	Facility		$166.52	$166.52	$344.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $166.52 / $1,430.58	Professional		$121.56	$166.52	$1,430.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.81 / $187.58 / $234.47	Professional		$153.81	$187.58	$234.47
United Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $146.83 / $207.62	Professional		$97.89	$146.83	$207.62