Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.20 / $97.16 / $101.04	Facility		$74.20	$97.16	$101.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.74 / $107.39 / $128.51	Professional		$86.74	$107.39	$128.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.08 / $204.15 / $214.56	Facility		$127.08	$204.15	$214.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.48 / $122.61 / $123.82	Professional		$95.48	$122.61	$123.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $153.11 / $287.85 / $385.78	Facility		$153.11	$287.85	$385.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.15 / $275.60 / $337.55	Professional		$204.15	$275.60	$337.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.15 / $170.15 / $279.14	Facility		$170.15	$170.15	$279.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $170.15 / $1,169.96	Professional		$124.21	$170.15	$1,169.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.68 / $130.10 / $162.62	Professional		$106.68	$130.10	$162.62
United Facility/Professional Professional Modifier Low / Median / High Price $67.90 / $108.61 / $156.94	Professional		$67.90	$108.61	$156.94