Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.74 / $107.00 / $475.94	Facility		$87.74	$107.00	$475.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $85.60 / $107.00	Professional		$74.90	$85.60	$107.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $88.52 / $90.58	Professional		$75.23	$88.52	$90.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.40 / $1,123.50 / $3,380.40	Facility		$128.40	$1,123.50	$3,380.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.05 / $149.80 / $2,957.85	Professional		$123.05	$149.80	$2,957.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.55 / $83.26 / $141.19	Facility		$69.55	$83.26	$141.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.30 / $515.74 / $515.74	Professional		$124.30	$515.74	$515.74
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 $44.94 / $64.20 / $107.00	Professional		$44.94	$64.20	$107.00