Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.88 / $307.25 / $341.39	Facility		$93.88	$307.25	$341.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.16 / $341.39 / $366.10	Professional		$254.16	$341.39	$366.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.07 / $208.50 / $320.52	Professional		$151.07	$208.50	$320.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $51.81 / $76.37	Facility		$16.39	$51.81	$76.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $20.01 / $28.58	Professional		$15.40	$20.01	$28.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.11 / $67.11 / $739.96	Facility		$67.11	$67.11	$739.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $112.63 / $358.68	Professional		$67.98	$112.63	$358.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $32.34 / $45.00	Professional		$22.19	$32.34	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.37 / $288.64 / $506.90	Professional		$74.37	$288.64	$506.90