Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.57 / $169.52 / $209.29	Facility		$152.57	$169.52	$209.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.57 / $169.52 / $209.29	Professional		$152.57	$169.52	$209.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.15 / $204.63 / $297.51	Professional		$179.15	$204.63	$297.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.52 / $161.94 / $235.25	Facility		$29.52	$161.94	$235.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $42.45 / $235.42	Professional		$29.59	$42.45	$235.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.04 / $206.54 / $739.96	Facility		$172.04	$206.54	$739.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.43 / $327.67 / $848.13	Professional		$217.43	$327.67	$848.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $172.83	Professional		$32.34	$32.34	$172.83
United Facility/Professional Professional Modifier Low / Median / High Price $176.96 / $224.68 / $309.02	Professional		$176.96	$224.68	$309.02