Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.31 / $105.90 / $115.66	Facility		$95.31	$105.90	$115.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.31 / $105.90 / $115.66	Professional		$95.31	$105.90	$115.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.19 / $216.63 / $261.02	Professional		$119.19	$216.63	$261.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.14 / $69.56 / $117.32	Facility		$39.14	$69.56	$117.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.09 / $56.28 / $117.32	Professional		$38.09	$56.28	$117.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.79 / $103.79 / $197.24	Facility		$103.79	$103.79	$197.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.80 / $128.57 / $212.27	Professional		$85.80	$128.57	$212.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $41.40 / $107.28	Professional		$32.34	$41.40	$107.28
United Facility/Professional Professional Modifier Low / Median / High Price $90.78 / $144.06 / $234.71	Professional		$90.78	$144.06	$234.71