Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.14 / $96.87 / $119.96	Facility		$93.14	$96.87	$119.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.79 / $95.06 / $119.96	Professional		$84.79	$95.06	$119.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.83 / $195.71 / $205.69	Facility		$121.83	$195.71	$205.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.53 / $104.47 / $132.76	Professional		$91.53	$104.47	$132.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.78 / $272.55 / $313.52	Facility		$146.78	$272.55	$313.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.92 / $243.35 / $322.92	Professional		$185.92	$243.35	$322.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $229.34	Facility		$67.73	$67.73	$229.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $67.73 / $861.29	Professional		$57.58	$67.73	$861.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.83 / $136.38 / $165.47	Professional		$111.83	$136.38	$165.47
United Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $97.63 / $133.72	Professional		$65.09	$97.63	$133.72