Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.15 / $95.66 / $99.48	Facility		$71.15	$95.66	$99.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $95.66 / $120.47	Professional		$85.40	$95.66	$120.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.12 / $200.99 / $211.24	Facility		$125.12	$200.99	$211.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $117.56 / $120.12	Professional		$94.02	$117.56	$120.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.74 / $274.02 / $376.88	Facility		$150.74	$274.02	$376.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.94 / $244.66 / $331.63	Professional		$190.94	$244.66	$331.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $122.31 / $255.06	Facility		$122.31	$122.31	$255.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $122.31 / $1,069.03	Professional		$89.29	$122.31	$1,069.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.05 / $128.11 / $160.13	Professional		$105.05	$128.11	$160.13
United Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $100.28 / $150.47	Professional		$66.84	$100.28	$150.47