Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $194.98 / $194.98	Facility		$173.78	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $275.42	Professional		$173.78	$208.93	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $275.42	Professional		$144.54	$173.78	$275.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $173.78 / $288.40	Facility		$33.11	$173.78	$288.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $39.81 / $48.98	Professional		$28.84	$39.81	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $323.59 / $323.59	Facility		$173.78	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $234.42 / $977.24	Professional		$52.48	$234.42	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $204.17	Professional		$32.36	$33.11	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $234.42 / $323.59	Professional		$123.03	$234.42	$323.59