Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.72 / $105.69 / $109.91	Facility		$80.72	$105.69	$109.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.36 / $112.53 / $131.65	Professional		$94.36	$112.53	$131.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.24 / $222.07 / $233.40	Facility		$138.24	$222.07	$233.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.87 / $133.38 / $133.38	Professional		$103.87	$133.38	$133.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $166.55 / $313.12 / $411.89	Facility		$166.55	$313.12	$411.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $210.97 / $277.58 / $366.42	Professional		$210.97	$277.58	$366.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.76 / $138.76 / $291.07	Facility		$138.76	$138.76	$291.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.29 / $138.76 / $1,219.94	Professional		$101.29	$138.76	$1,219.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.06 / $141.54 / $176.92	Professional		$116.06	$141.54	$176.92
United Facility/Professional Professional Modifier Low / Median / High Price $73.86 / $110.79 / $170.72	Professional		$73.86	$110.79	$170.72