Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.11 / $402.50 / $2,887.69	Facility		$115.11	$402.50	$2,887.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $113.30 / $132.05	Professional		$57.03	$113.30	$132.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $78.73 / $106.30	Professional		$76.45	$78.73	$106.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.90 / $119.56 / $175.65	Facility		$32.90	$119.56	$175.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $116.52 / $159.18	Professional		$29.26	$116.52	$159.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.16 / $143.16 / $143.16	Facility		$143.16	$143.16	$143.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.04 / $110.65 / $592.47	Professional		$65.04	$110.65	$592.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $78.81 / $132.41	Professional		$60.32	$78.81	$132.41