Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.16 / $99.06 / $197.07	Facility		$89.16	$99.06	$197.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.16 / $99.06 / $140.26	Professional		$89.16	$99.06	$140.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.99 / $139.87 / $190.10	Professional		$115.99	$139.87	$190.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.23 / $97.44 / $138.52	Facility		$26.23	$97.44	$138.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $36.82 / $145.34	Professional		$24.62	$36.82	$145.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.28 / $122.28 / $739.96	Facility		$122.28	$122.28	$739.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.81 / $218.85 / $760.20	Professional		$150.81	$218.85	$760.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $105.08	Professional		$32.34	$32.34	$105.08
United Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $145.01 / $184.64	Professional		$115.13	$145.01	$184.64