Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.81 / $105.80 / $110.03	Facility		$80.81	$105.80	$110.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.46 / $116.94 / $150.22	Professional		$94.46	$116.94	$150.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.38 / $222.30 / $233.64	Facility		$138.38	$222.30	$233.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.96 / $133.51 / $141.19	Professional		$112.96	$133.51	$141.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $166.73 / $313.44 / $422.37	Facility		$166.73	$313.44	$422.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.30 / $300.11 / $394.58	Professional		$222.30	$300.11	$394.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.31 / $182.31 / $287.50	Facility		$182.31	$182.31	$287.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $182.31 / $1,205.00	Professional		$133.09	$182.31	$1,205.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.16 / $141.66 / $177.08	Professional		$116.16	$141.66	$177.08
United Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $118.85 / $170.90	Professional		$73.94	$118.85	$170.90