Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $114.82 / $295.12	Facility		$91.20	$114.82	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $186.21	Professional		$109.65	$131.83	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $169.82	Professional		$100.00	$117.49	$169.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $141.25 / $181.97	Facility		$107.15	$141.25	$181.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $173.78	Professional		$102.33	$141.25	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $190.55 / $190.55	Facility		$109.65	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $575.44 / $575.44	Professional		$117.49	$575.44	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $81.28	Professional		$47.86	$60.26	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $144.54 / $208.93	Professional		$64.57	$144.54	$208.93