Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $147.91	Professional		$89.13	$112.20	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $97.72 / $281.84	Professional		$95.50	$97.72	$281.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $104.71 / $177.83	Facility		$70.79	$104.71	$177.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $141.25	Professional		$63.10	$74.13	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $288.40 / $537.03	Facility		$109.65	$288.40	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $190.55 / $758.58	Professional		$66.07	$190.55	$758.58
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 Facility Modifier Low / Median / High Price $46.77 / $69.18 / $114.82	Facility		$46.77	$69.18	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $208.93 / $354.81	Professional		$128.82	$208.93	$354.81