Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.02 / $194.09 / $215.66	Facility		$112.02	$194.09	$215.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.99 / $215.34 / $231.06	Professional		$148.99	$215.34	$231.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.96 / $175.66 / $246.24	Professional		$121.96	$175.66	$246.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.88 / $68.84 / $121.94	Facility		$45.88	$68.84	$121.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $55.39 / $113.20	Professional		$41.03	$55.39	$113.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.23 / $109.23 / $439.62	Facility		$109.23	$109.23	$439.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $125.40 / $183.01	Professional		$81.31	$125.40	$183.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $46.03 / $101.81	Professional		$32.34	$46.03	$101.81
United Facility/Professional Professional Modifier Low / Median / High Price $88.99 / $220.58 / $332.74	Professional		$88.99	$220.58	$332.74