Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.15 / $103.63 / $107.77	Facility		$79.15	$103.63	$107.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.52 / $106.32 / $121.09	Professional		$92.52	$106.32	$121.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.54 / $217.74 / $228.84	Facility		$135.54	$217.74	$228.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.84 / $130.78 / $132.08	Professional		$101.84	$130.78	$132.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.31 / $304.83 / $359.27	Facility		$163.31	$304.83	$359.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $217.74 / $272.18 / $359.27	Professional		$217.74	$272.18	$359.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $140.85 / $286.83	Facility		$140.85	$140.85	$286.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $137.82 / $1,202.25	Professional		$102.82	$137.82	$1,202.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.79 / $138.77 / $173.46	Professional		$113.79	$138.77	$173.46
United Facility/Professional Professional Modifier Low / Median / High Price $72.42 / $108.63 / $167.39	Professional		$72.42	$108.63	$167.39