Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $457.09	Facility		$47.86	$47.86	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $537.03	Professional		$32.36	$47.86	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $1,348.96	Professional		$776.25	$891.25	$1,348.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $190.55 / $467.74	Facility		$67.61	$190.55	$467.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $177.83 / $407.38	Professional		$67.61	$177.83	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $794.33 / $794.33	Professional		$204.17	$794.33	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $302.00	Professional		$269.15	$269.15	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $54.95 / $70.79	Professional		$41.69	$54.95	$70.79