Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.03 / $123.11 / $128.03	Facility		$94.03	$123.11	$128.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.91 / $136.43 / $183.84	Professional		$109.91	$136.43	$183.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.03 / $258.68 / $271.87	Facility		$161.03	$258.68	$271.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.05 / $155.36 / $168.25	Professional		$132.05	$155.36	$168.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.01 / $364.74 / $491.49	Facility		$194.01	$364.74	$491.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $258.68 / $349.22 / $482.86	Professional		$258.68	$349.22	$482.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $161.63 / $323.54	Facility		$161.63	$161.63	$323.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $161.63 / $1,356.06	Professional		$117.99	$161.63	$1,356.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.18 / $164.86 / $206.07	Professional		$135.18	$164.86	$206.07
United Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $198.86	Facility		$170.54	$170.54	$198.86
United Facility/Professional Professional Modifier Low / Median / High Price $86.03 / $129.05 / $206.94	Professional		$86.03	$129.05	$206.94