Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.18 / $114.19 / $613.66	Facility		$72.18	$114.19	$613.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.37 / $114.19 / $132.11	Professional		$110.37	$114.19	$132.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.60 / $114.83 / $169.56	Professional		$97.60	$114.83	$169.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.25 / $145.77 / $182.21	Facility		$106.25	$145.77	$182.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $145.77 / $208.24	Professional		$115.76	$145.77	$208.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.29 / $141.30 / $141.30	Facility		$63.29	$141.30	$141.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.65 / $149.46 / $572.17	Professional		$110.65	$149.46	$572.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $50.40 / $64.80	Professional		$48.00	$50.40	$64.80
United Facility/Professional Facility Modifier Low / Median / High Price $181.49 / $181.49 / $181.49	Facility		$181.49	$181.49	$181.49
United Facility/Professional Professional Modifier Low / Median / High Price $101.07 / $139.33 / $190.10	Professional		$101.07	$139.33	$190.10