Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $104.21 / $104.21	Facility		$104.21	$104.21	$104.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $104.21 / $112.97	Professional		$96.43	$104.21	$112.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $98.80 / $284.60	Professional		$77.59	$98.80	$284.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.91 / $130.80 / $183.81	Facility		$73.91	$130.80	$183.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.82 / $87.10 / $169.79	Professional		$62.82	$87.10	$169.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.47 / $158.47 / $158.47	Facility		$158.47	$158.47	$158.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $181.37 / $414.28	Professional		$65.70	$181.37	$414.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $125.17 / $169.22 / $358.90	Professional		$125.17	$169.22	$358.90