Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.02 / $127.75 / $141.94	Facility		$121.02	$127.75	$141.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $141.94 / $150.43	Professional		$127.75	$141.94	$150.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.45 / $163.28 / $204.25	Professional		$122.45	$163.28	$204.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.47 / $136.61 / $204.12	Facility		$17.47	$136.61	$204.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $25.11 / $203.06	Professional		$16.82	$25.11	$203.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.49 / $172.98 / $739.96	Facility		$99.49	$172.98	$739.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.21 / $234.19 / $715.63	Professional		$134.21	$234.19	$715.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $145.05	Professional		$32.34	$32.34	$145.05
United Facility/Professional Facility Modifier Low / Median / High Price $296.79 / $296.79 / $296.79	Facility		$296.79	$296.79	$296.79
United Facility/Professional Professional Modifier Low / Median / High Price $120.16 / $178.93 / $248.25	Professional		$120.16	$178.93	$248.25