Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.35 / $117.19 / $174.81	Professional		$93.35	$117.19	$174.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.03 / $103.70 / $145.86	Professional		$87.03	$103.70	$145.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $137.43 / $219.31	Professional		$107.11	$137.43	$219.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.34 / $170.47 / $257.83	Professional		$116.34	$170.47	$257.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $49.74 / $152.00	Professional		$32.34	$49.74	$152.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $169.61 / $257.70	Professional		$123.62	$169.61	$257.70