Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.19 / $159.75 / $201.81	Facility		$123.19	$159.75	$201.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.75 / $145.56 / $190.01	Professional		$112.75	$145.56	$190.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.44 / $127.00 / $196.42	Professional		$99.44	$127.00	$196.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.47 / $131.30 / $165.55	Facility		$98.47	$131.30	$165.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.84 / $148.41 / $207.09	Professional		$103.84	$148.41	$207.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.80 / $199.80 / $199.80	Facility		$199.80	$199.80	$199.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.87 / $184.40 / $315.52	Professional		$116.87	$184.40	$315.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $119.38	Professional		$32.34	$32.34	$119.38
United Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $188.72 / $336.43	Professional		$133.38	$188.72	$336.43