Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.19 / $147.99 / $179.52	Facility		$133.19	$147.99	$179.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.19 / $149.16 / $179.52	Professional		$133.19	$149.16	$179.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.98 / $132.91 / $235.40	Professional		$112.98	$132.91	$235.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.95 / $119.73 / $197.60	Facility		$57.95	$119.73	$197.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.96 / $83.92 / $197.60	Professional		$57.96	$83.92	$197.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.57 / $178.55 / $178.55	Facility		$147.57	$178.55	$178.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.28 / $217.85 / $357.17	Professional		$149.28	$217.85	$357.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $68.59 / $164.70	Professional		$32.34	$68.59	$164.70
United Facility/Professional Professional Modifier Low / Median / High Price $136.78 / $159.71 / $265.37	Professional		$136.78	$159.71	$265.37