Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.65 / $76.28 / $166.08	Facility		$68.65	$76.28	$166.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.65 / $76.28 / $86.55	Professional		$68.65	$76.28	$86.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.77 / $169.20 / $288.49	Professional		$142.77	$169.20	$288.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.68 / $61.40 / $101.28	Facility		$29.68	$61.40	$101.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $43.55 / $102.33	Professional		$29.13	$43.55	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $91.72 / $136.52	Facility		$91.72	$91.72	$136.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.44 / $133.71 / $216.69	Professional		$74.44	$133.71	$216.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.97 / $34.53 / $149.39	Professional		$31.97	$34.53	$149.39
United Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $169.97 / $257.26	Professional		$128.88	$169.97	$257.26