Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.93 / $192.23 / $2,747.00	Facility		$66.93	$192.23	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $169.24 / $210.48	Professional		$63.75	$169.24	$210.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $103.08 / $210.80	Professional		$45.58	$103.08	$210.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.20 / $85.79 / $91.76	Facility		$62.20	$85.79	$91.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.55 / $98.05 / $255.25	Professional		$66.55	$98.05	$255.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.68 / $107.24 / $107.24	Facility		$67.68	$107.24	$107.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.55 / $179.26 / $308.72	Professional		$73.55	$179.26	$308.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $129.68	Professional		$32.34	$32.34	$129.68
United Facility/Professional Professional Modifier Low / Median / High Price $144.02 / $204.63 / $378.16	Professional		$144.02	$204.63	$378.16