Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.83 / $83.57 / $86.91	Facility		$63.83	$83.57	$86.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.61 / $92.38 / $124.80	Professional		$74.61	$92.38	$124.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.31 / $175.60 / $184.56	Facility		$109.31	$175.60	$184.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.64 / $105.47 / $114.22	Professional		$89.64	$105.47	$114.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.69 / $247.60 / $333.64	Facility		$131.69	$247.60	$333.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $175.60 / $237.06 / $327.78	Professional		$175.60	$237.06	$327.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $113.00 / $225.54	Facility		$113.00	$113.00	$225.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $113.00 / $945.30	Professional		$82.49	$113.00	$945.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.76 / $111.91 / $139.88	Professional		$91.76	$111.91	$139.88
United Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $93.88 / $135.00	Professional		$58.40	$93.88	$135.00