Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.50 / $156.97 / $290.01	Facility		$149.50	$156.97	$290.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.50 / $156.97 / $197.79	Professional		$149.50	$156.97	$197.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.25 / $176.30 / $181.60	Facility		$169.25	$176.30	$181.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.07 / $149.50 / $149.50	Professional		$127.07	$149.50	$149.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.72 / $41.01 / $71.50	Facility		$39.72	$41.01	$71.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $43.69 / $63.55	Professional		$39.72	$43.69	$63.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.50 / $172.37 / $172.37	Facility		$149.50	$172.37	$172.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $172.37 / $212.74	Professional		$104.45	$172.37	$212.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $149.63 / $181.60	Professional		$145.49	$149.63	$181.60