Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.98 / $91.64 / $95.30	Facility		$69.98	$91.64	$95.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $110.61 / $126.15	Professional		$81.81	$110.61	$126.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.86 / $192.55 / $202.37	Facility		$119.86	$192.55	$202.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.86 / $115.65 / $118.58	Professional		$94.86	$115.65	$118.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.41 / $271.50 / $372.19	Facility		$144.41	$271.50	$372.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $192.55 / $259.94 / $331.35	Professional		$192.55	$259.94	$331.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $126.98 / $258.23	Facility		$126.98	$126.98	$258.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $126.98 / $1,082.33	Professional		$92.70	$126.98	$1,082.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.62 / $122.71 / $153.38	Professional		$100.62	$122.71	$153.38
United Facility/Professional Facility Modifier Low / Median / High Price $120.51 / $120.51 / $120.51	Facility		$120.51	$120.51	$120.51
United Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $102.94 / $148.03	Professional		$64.04	$102.94	$148.03