Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.43 / $107.56 / $133.19	Facility		$103.43	$107.56	$133.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.15 / $105.55 / $133.19	Professional		$94.15	$105.55	$133.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.28 / $217.32 / $228.40	Facility		$135.28	$217.32	$228.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $116.01 / $170.35	Professional		$59.50	$116.01	$170.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.99 / $302.62 / $348.08	Facility		$162.99	$302.62	$348.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $206.45 / $270.20 / $358.58	Professional		$206.45	$270.20	$358.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.65 / $171.65 / $254.68	Facility		$171.65	$171.65	$254.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $171.65 / $1,036.88	Professional		$145.90	$171.65	$1,036.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.92 / $163.32 / $204.15	Professional		$133.92	$163.32	$204.15
United Facility/Professional Professional Modifier Low / Median / High Price $72.28 / $108.42 / $148.49	Professional		$72.28	$108.42	$148.49