Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.71 / $119.68 / $581.74	Facility		$107.71	$119.68	$581.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $120.45 / $188.83	Professional		$107.71	$120.45	$188.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.68 / $186.80 / $696.92	Professional		$141.68	$186.80	$696.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.69 / $87.97 / $158.97	Facility		$57.69	$87.97	$158.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $71.16 / $142.38	Professional		$50.27	$71.16	$142.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.54 / $143.54 / $5,718.65	Facility		$143.54	$143.54	$5,718.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.62 / $311.06 / $768.69	Professional		$143.62	$311.06	$768.69
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 $124.65 / $200.25 / $503.64	Professional		$124.65	$200.25	$503.64