Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.63 / $101.60 / $105.66	Facility		$72.63	$101.60	$105.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.71 / $105.66 / $142.02	Professional		$90.71	$105.66	$142.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $213.47 / $224.36	Facility		$132.88	$213.47	$224.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.01 / $120.02 / $133.47	Professional		$102.01	$120.02	$133.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $160.10 / $289.75 / $405.59	Facility		$160.10	$289.75	$405.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.47 / $288.18 / $373.02	Professional		$213.47	$288.18	$373.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.35 / $172.35 / $257.12	Facility		$172.35	$172.35	$257.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $172.35 / $1,077.66	Professional		$125.82	$172.35	$1,077.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.56 / $136.06 / $170.07	Professional		$111.56	$136.06	$170.07
United Facility/Professional Facility Modifier Low / Median / High Price $131.74 / $131.74 / $153.62	Facility		$131.74	$131.74	$153.62
United Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $114.13 / $153.62	Professional		$71.00	$114.13	$153.62