Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $125.89 / $1,288.25	Facility		$91.20	$125.89	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $169.82	Professional		$81.28	$100.00	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $95.50 / $181.97	Professional		$93.33	$95.50	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $83.18 / $120.23	Facility		$26.30	$83.18	$120.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $38.02	Professional		$23.99	$32.36	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $151.36 / $173.78	Facility		$104.71	$151.36	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $165.96 / $478.63	Professional		$89.13	$165.96	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $58.88	Professional		$32.36	$33.11	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $162.18	Professional		$89.13	$107.15	$162.18