Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.53 / $99.47 / $172.88	Facility		$89.53	$99.47	$172.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.53 / $99.47 / $100.27	Professional		$89.53	$99.47	$100.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.76 / $110.31 / $177.37	Professional		$93.76	$110.31	$177.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.79 / $83.61 / $134.30	Facility		$43.79	$83.61	$134.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $51.52 / $91.97	Professional		$40.86	$51.52	$91.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.28 / $117.28 / $446.34	Facility		$117.28	$117.28	$446.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.54 / $187.46 / $338.00	Professional		$126.54	$187.46	$338.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $45.00 / $98.92	Professional		$32.34	$45.00	$98.92
United Facility/Professional Professional Modifier Low / Median / High Price $103.55 / $164.03 / $341.71	Professional		$103.55	$164.03	$341.71