Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $123.03 / $128.82	Facility		$114.82	$123.03	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $234.42	Professional		$117.49	$138.04	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $223.87	Professional		$117.49	$151.36	$223.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $114.82 / $177.83	Facility		$21.88	$114.82	$177.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.92 / $33.11	Professional		$18.20	$26.92	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $204.17 / $204.17	Facility		$107.15	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $616.60	Professional		$117.49	$194.98	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $186.21 / $269.15	Professional		$100.00	$186.21	$269.15