Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.45 / $190.63 / $211.81	Facility		$98.45	$190.63	$211.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.11 / $211.81 / $223.96	Professional		$109.11	$211.81	$223.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.50 / $188.09 / $262.81	Professional		$128.50	$188.09	$262.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.52 / $60.32 / $100.53	Facility		$31.52	$60.32	$100.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.52 / $43.95 / $100.53	Professional		$31.52	$43.95	$100.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.77 / $90.77 / $439.62	Facility		$90.77	$90.77	$439.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $113.87 / $180.63	Professional		$77.62	$113.87	$180.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $36.36 / $89.65	Professional		$32.34	$36.36	$89.65
United Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $203.97 / $351.39	Professional		$76.48	$203.97	$351.39