Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.34 / $138.81 / $582.12	Facility		$104.34	$138.81	$582.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $110.27 / $250.49	Professional		$95.80	$110.27	$250.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.45 / $93.57 / $159.94	Professional		$87.45	$93.57	$159.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $104.23 / $164.28	Facility		$36.22	$104.23	$164.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $52.45 / $169.12	Professional		$35.56	$52.45	$169.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $140.24 / $163.03	Facility		$96.58	$140.24	$163.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.18 / $162.24 / $275.38	Professional		$101.18	$162.24	$275.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $73.50	Professional		$32.34	$32.34	$73.50
United Facility/Professional Professional Modifier Low / Median / High Price $98.94 / $132.63 / $183.98	Professional		$98.94	$132.63	$183.98