Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $109.65	Facility		$100.00	$100.00	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $181.97	Professional		$91.20	$112.20	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $134.90 / $309.03	Professional		$128.82	$134.90	$309.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $75.86 / $134.90	Facility		$45.71	$75.86	$134.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $64.57	Professional		$39.81	$53.70	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $165.96 / $338.84	Facility		$69.18	$165.96	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $223.87 / $912.01	Professional		$102.33	$223.87	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $123.03	Professional		$32.36	$33.11	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $223.87	Professional		$95.50	$141.25	$223.87