Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.69 / $103.97 / $147.02	Facility		$66.69	$103.97	$147.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.10 / $100.50 / $161.35	Professional		$94.10	$100.50	$161.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $60.77 / $103.55	Professional		$15.93	$60.77	$103.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.52 / $120.04 / $141.78	Facility		$94.52	$120.04	$141.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.39 / $122.88 / $155.96	Professional		$92.39	$122.88	$155.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $75.00 / $116.06	Facility		$63.00	$75.00	$116.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.65 / $99.14 / $189.65	Professional		$75.65	$99.14	$189.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.27 / $32.34 / $41.38	Professional		$32.27	$32.34	$41.38
United Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $106.43 / $199.41	Professional		$68.56	$106.43	$199.41