Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.09 / $157.09 / $843.73	Facility		$157.09	$157.09	$843.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.75 / $157.09 / $181.63	Professional		$151.75	$157.09	$181.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.58 / $167.22 / $302.39	Professional		$123.58	$167.22	$302.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.72 / $201.39 / $232.31	Facility		$146.72	$201.39	$232.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.19 / $194.67 / $237.35	Professional		$144.19	$194.67	$237.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.37 / $194.24 / $194.24	Facility		$74.37	$194.24	$194.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.12 / $212.63 / $790.48	Professional		$152.12	$212.63	$790.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.53 / $59.35 / $76.31	Professional		$56.53	$59.35	$76.31
United Facility/Professional Professional Modifier Low / Median / High Price $104.78 / $197.05 / $278.19	Professional		$104.78	$197.05	$278.19