Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.43 / $109.43 / $152.94	Facility		$109.43	$109.43	$152.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.43 / $121.59 / $144.22	Professional		$109.43	$121.59	$144.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.41 / $138.13 / $203.10	Professional		$117.41	$138.13	$203.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.54 / $112.90 / $163.41	Facility		$41.54	$112.90	$163.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $55.62 / $166.02	Professional		$38.59	$55.62	$166.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.80 / $148.80 / $148.80	Facility		$148.80	$148.80	$148.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.35 / $171.98 / $254.61	Professional		$112.35	$171.98	$254.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $44.41 / $140.52	Professional		$32.34	$44.41	$140.52
United Facility/Professional Professional Modifier Low / Median / High Price $118.19 / $138.69 / $203.96	Professional		$118.19	$138.69	$203.96