Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.09 / $70.09 / $106.25	Facility		$70.09	$70.09	$106.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $100.40 / $155.68	Professional		$70.48	$100.40	$155.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.40 / $219.85 / $304.06	Professional		$149.40	$219.85	$304.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.83 / $106.67 / $228.91	Facility		$89.83	$106.67	$228.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $99.71 / $157.08	Professional		$79.84	$99.71	$157.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.43 / $122.43 / $122.43	Facility		$122.43	$122.43	$122.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.26 / $121.14 / $333.64	Professional		$77.26	$121.14	$333.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.44 / $89.44 / $93.91	Professional		$89.44	$89.44	$93.91
United Facility/Professional Professional Modifier Low / Median / High Price $111.33 / $142.29 / $224.36	Professional		$111.33	$142.29	$224.36