Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.71 / $119.68 / $580.10	Facility		$107.71	$119.68	$580.10
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 $138.11 / $184.45 / $710.40	Professional		$138.11	$184.45	$710.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.55 / $88.59 / $158.97	Facility		$55.55	$88.59	$158.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.81 / $72.77 / $158.97	Professional		$57.81	$72.77	$158.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.54 / $143.54 / $1,127.06	Facility		$143.54	$143.54	$1,127.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.52 / $345.04 / $768.69	Professional		$130.52	$345.04	$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 $124.63 / $214.92 / $500.49	Professional		$124.63	$214.92	$500.49