Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.96 / $738.00 / $900.00	Facility		$191.96	$738.00	$900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.96 / $206.79 / $375.00	Professional		$191.96	$206.79	$375.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.93 / $217.26 / $283.82	Professional		$210.93	$217.26	$283.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.19 / $135.84 / $252.55	Facility		$94.19	$135.84	$252.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.39 / $119.02 / $250.75	Professional		$94.39	$119.02	$250.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.17 / $228.17 / $228.17	Facility		$228.17	$228.17	$228.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.36 / $302.33 / $487.62	Professional		$189.36	$302.33	$487.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $181.66	Professional		$32.34	$32.34	$181.66
United Facility/Professional Professional Modifier Low / Median / High Price $201.06 / $235.06 / $333.12	Professional		$201.06	$235.06	$333.12