Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.56 / $115.43 / $120.05	Facility		$73.56	$115.43	$120.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.24 / $120.05 / $140.80	Professional		$99.24	$120.05	$140.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.97 / $242.54 / $254.91	Facility		$150.97	$242.54	$254.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.44 / $121.55 / $144.94	Professional		$113.44	$121.55	$144.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.91 / $323.81 / $422.64	Facility		$181.91	$323.81	$422.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $230.41 / $303.77 / $400.19	Professional		$230.41	$303.77	$400.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.89 / $170.89 / $284.23	Facility		$170.89	$170.89	$284.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $170.89 / $1,156.56	Professional		$124.75	$170.89	$1,156.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.75 / $154.58 / $193.22	Professional		$126.75	$154.58	$193.22
United Facility/Professional Professional Modifier Low / Median / High Price $80.67 / $121.00 / $159.90	Professional		$80.67	$121.00	$159.90