Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.34 / $141.03 / $430.85	Facility		$83.34	$141.03	$430.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $92.67 / $166.51	Professional		$83.34	$92.67	$166.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.51 / $86.96 / $144.13	Professional		$78.51	$86.96	$144.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.36 / $73.75 / $121.48	Facility		$30.36	$73.75	$121.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.49 / $44.53 / $127.79	Professional		$31.49	$44.53	$127.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $111.47 / $163.03	Facility		$96.58	$111.47	$163.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.92 / $124.03 / $205.34	Professional		$85.92	$124.03	$205.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $65.37	Professional		$32.34	$32.34	$65.37
United Facility/Professional Professional Modifier Low / Median / High Price $83.13 / $103.80 / $150.07	Professional		$83.13	$103.80	$150.07