Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.44 / $164.62 / $182.91	Facility		$121.44	$164.62	$182.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.62 / $182.91 / $193.43	Professional		$164.62	$182.91	$193.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.94 / $178.94 / $255.54	Professional		$124.94	$178.94	$255.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.67 / $186.64 / $271.64	Facility		$28.67	$186.64	$271.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $39.97 / $277.51	Professional		$24.99	$39.97	$277.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.83 / $235.24 / $739.96	Facility		$99.83	$235.24	$739.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.78 / $282.00 / $977.54	Professional		$133.78	$282.00	$977.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $198.22	Professional		$32.34	$32.34	$198.22
United Facility/Professional Professional Modifier Low / Median / High Price $123.29 / $224.12 / $297.51	Professional		$123.29	$224.12	$297.51