Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $123.00 / $667.20	Facility		$118.50	$123.00	$667.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $120.00 / $150.00	Professional		$105.00	$120.00	$150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.59 / $31.29 / $39.85	Professional		$26.59	$31.29	$39.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $1,968.75 / $4,738.68	Facility		$180.00	$1,968.75	$4,738.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.50 / $210.00 / $2,783.97	Professional		$172.50	$210.00	$2,783.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.50 / $116.72 / $197.93	Facility		$97.50	$116.72	$197.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.32 / $723.00 / $723.00	Professional		$158.32	$723.00	$723.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $90.00 / $150.00	Professional		$63.00	$90.00	$150.00