Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.21 / $136.30 / $141.75	Facility		$99.21	$136.30	$141.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.69 / $151.99 / $189.14	Professional		$121.69	$151.99	$189.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.28 / $286.39 / $301.01	Facility		$178.28	$286.39	$301.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.94 / $163.92 / $166.74	Professional		$133.94	$163.92	$166.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $214.80 / $403.82 / $591.76	Facility		$214.80	$403.82	$591.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $367.28 / $472.56	Professional		$272.08	$367.28	$472.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $357.90	Facility		$170.54	$170.54	$357.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $170.54 / $1,500.08	Professional		$124.49	$170.54	$1,500.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.67 / $182.53 / $228.16	Professional		$149.67	$182.53	$228.16
United Facility/Professional Professional Modifier Low / Median / High Price $95.25 / $142.88 / $209.82	Professional		$95.25	$142.88	$209.82