Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $446.68 / $489.78	Facility		$398.11	$446.68	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $446.68 / $602.56	Professional		$245.47	$446.68	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $323.59	Professional		$109.65	$208.93	$323.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $51.29 / $87.10	Facility		$26.92	$51.29	$87.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $31.62 / $38.02	Professional		$23.44	$31.62	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $107.15 / $107.15	Facility		$42.66	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $104.71 / $331.13	Professional		$50.12	$104.71	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $72.44	Professional		$29.51	$33.11	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $245.47 / $707.95	Professional		$67.61	$245.47	$707.95