Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $85.11	Facility		$83.18	$83.18	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $147.91	Professional		$75.86	$112.20	$147.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $177.83 / $186.21	Facility		$162.18	$177.83	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $114.82	Professional		$83.18	$104.71	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $234.42 / $309.03	Facility		$131.83	$234.42	$309.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $281.84	Professional		$173.78	$218.78	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $316.23 / $316.23	Facility		$112.20	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $162.18 / $954.99	Professional		$83.18	$162.18	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $151.36	Professional		$91.20	$117.49	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $114.82 / $134.90	Facility		$75.86	$114.82	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $97.72 / $138.04	Professional		$58.88	$97.72	$138.04