Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.83 / $107.15 / $111.43	Facility		$81.83	$107.15	$111.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.66 / $118.43 / $145.94	Professional		$95.66	$118.43	$145.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.15 / $225.14 / $236.62	Facility		$140.15	$225.14	$236.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $135.22 / $137.19	Professional		$109.75	$135.22	$137.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $168.86 / $317.45 / $427.77	Facility		$168.86	$317.45	$427.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $225.14 / $303.94 / $383.35	Professional		$225.14	$303.94	$383.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.51 / $194.51 / $291.70	Facility		$194.51	$194.51	$291.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $194.51 / $1,222.64	Professional		$141.99	$194.51	$1,222.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.65 / $143.47 / $179.35	Professional		$117.65	$143.47	$179.35
United Facility/Professional Professional Modifier Low / Median / High Price $74.88 / $120.37 / $174.92	Professional		$74.88	$120.37	$174.92