Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $109.28 / $184.40	Facility		$108.47	$109.28	$184.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $148.96	Professional		$108.47	$108.47	$148.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.80 / $127.91 / $216.94	Facility		$122.80	$127.91	$216.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $112.81	Professional		$108.47	$108.47	$112.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $146.43 / $173.55	Facility		$108.47	$146.43	$173.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $119.32 / $167.04	Professional		$108.47	$119.32	$167.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $163.28 / $163.28	Facility		$108.47	$163.28	$163.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $153.49	Professional		$108.47	$108.47	$153.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.28 / $150.41 / $195.53	Professional		$109.28	$150.41	$195.53
United Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $114.98 / $121.92	Professional		$108.47	$114.98	$121.92