Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.38 / $110.15 / $114.56	Facility		$81.38	$110.15	$114.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.35 / $117.14 / $131.19	Professional		$98.35	$117.14	$131.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.08 / $231.45 / $243.25	Facility		$144.08	$231.45	$243.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.26 / $135.05 / $137.37	Professional		$108.26	$135.05	$137.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.59 / $326.33 / $393.82	Facility		$173.59	$326.33	$393.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $219.88 / $289.31 / $381.89	Professional		$219.88	$289.31	$381.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.22 / $159.22 / $283.99	Facility		$159.22	$159.22	$283.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $159.22 / $1,190.30	Professional		$116.23	$159.22	$1,190.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.97 / $147.53 / $184.41	Professional		$120.97	$147.53	$184.41
United Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $115.48 / $172.12	Professional		$76.98	$115.48	$172.12