Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $100.00	Facility		$97.72	$97.72	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $186.21	Professional		$87.10	$117.49	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $208.93 / $218.78	Facility		$186.21	$208.93	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $123.03	Professional		$95.50	$123.03	$123.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $275.42 / $354.81	Facility		$154.88	$275.42	$354.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $323.59	Professional		$204.17	$257.04	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $389.05 / $389.05	Facility		$169.82	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $1,174.90	Professional		$123.03	$190.55	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $173.78	Professional		$107.15	$138.04	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $134.90 / $158.49	Facility		$107.15	$134.90	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $158.49	Professional		$67.61	$109.65	$158.49