Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.22 / $132.52 / $137.82	Facility		$101.22	$132.52	$137.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.32 / $146.49 / $197.90	Professional		$118.32	$146.49	$197.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.34 / $278.45 / $292.66	Facility		$173.34	$278.45	$292.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.16 / $167.25 / $181.00	Professional		$142.16	$167.25	$181.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.85 / $392.63 / $529.07	Facility		$208.85	$392.63	$529.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $278.45 / $375.92 / $519.79	Professional		$278.45	$375.92	$519.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.64 / $177.64 / $374.38	Facility		$177.64	$177.64	$374.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $177.64 / $1,569.15	Professional		$129.68	$177.64	$1,569.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $177.47 / $221.83	Professional		$145.52	$177.47	$221.83
United Facility/Professional Professional Modifier Low / Median / High Price $92.62 / $148.88 / $214.08	Professional		$92.62	$148.88	$214.08