Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.91 / $79.30 / $82.47	Facility		$52.91	$79.30	$82.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $73.64 / $82.47	Professional		$70.80	$73.64	$82.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.72 / $166.62 / $175.12	Facility		$103.72	$166.62	$175.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.54 / $87.42 / $88.15	Professional		$75.54	$87.42	$88.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.97 / $211.12 / $241.60	Facility		$124.97	$211.12	$241.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.29 / $199.94 / $274.92	Professional		$158.29	$199.94	$274.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.54 / $97.54 / $195.25	Facility		$97.54	$97.54	$195.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $97.54 / $794.38	Professional		$71.20	$97.54	$794.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $106.19 / $132.73	Professional		$87.07	$106.19	$132.73
United Facility/Professional Professional Modifier Low / Median / High Price $55.42 / $83.12 / $133.30	Professional		$55.42	$83.12	$133.30