Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.79 / $155.32 / $591.12	Facility		$139.79	$155.32	$591.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.79 / $160.68 / $494.87	Professional		$139.79	$160.68	$494.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.65 / $231.73 / $735.86	Professional		$184.65	$231.73	$735.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $129.51 / $213.15	Facility		$64.62	$129.51	$213.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.63 / $90.11 / $213.15	Professional		$64.63	$90.11	$213.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.75 / $192.75 / $5,718.65	Facility		$192.75	$192.75	$5,718.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.65 / $392.67 / $784.80	Professional		$164.65	$392.67	$784.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $353.96	Professional		$32.34	$32.34	$353.96
United Facility/Professional Professional Modifier Low / Median / High Price $156.05 / $250.36 / $518.05	Professional		$156.05	$250.36	$518.05