Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $169.82 / $169.82	Facility		$151.36	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $181.97 / $251.19	Professional		$169.82	$181.97	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $323.59	Professional		$181.97	$208.93	$323.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $158.49 / $251.19	Facility		$28.18	$158.49	$251.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $34.67 / $42.66	Professional		$27.54	$34.67	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $281.84 / $338.84	Facility		$169.82	$281.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $436.52 / $851.14	Professional		$223.87	$436.52	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $331.13	Professional		$177.83	$234.42	$331.13