Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $95.50	Facility		$91.20	$91.20	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $177.83	Professional		$83.18	$112.20	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $194.98 / $204.17	Facility		$177.83	$194.98	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $117.49	Professional		$89.13	$114.82	$117.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $257.04 / $338.84	Facility		$144.54	$257.04	$338.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $309.03	Professional		$190.55	$239.88	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $363.08 / $363.08	Facility		$125.89	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $177.83 / $1,071.52	Professional		$93.33	$177.83	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $165.96	Professional		$100.00	$128.82	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $125.89 / $147.91	Facility		$100.00	$125.89	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $107.15 / $147.91	Professional		$64.57	$107.15	$147.91