Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $95.50 / $95.50	Facility		$83.18	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $100.00 / $147.91	Professional		$87.10	$100.00	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $223.87	Professional		$107.15	$128.82	$223.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $87.10 / $134.90	Facility		$21.88	$87.10	$134.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.30 / $32.36	Professional		$19.50	$26.30	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $186.21 / $245.47	Facility		$125.89	$186.21	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $645.65	Professional		$151.36	$263.03	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $104.71	Professional		$32.36	$33.11	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $190.55	Professional		$109.65	$134.90	$190.55