Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $295.81 / $301.55	Facility		$150.00	$295.81	$301.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $291.16 / $322.07	Professional		$127.50	$291.16	$322.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.75 / $300.00 / $411.00	Professional		$216.75	$300.00	$411.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.83 / $199.17 / $406.12	Facility		$119.83	$199.17	$406.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.06 / $159.16 / $366.54	Professional		$124.06	$159.16	$366.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.38 / $353.38 / $353.38	Facility		$353.38	$353.38	$353.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.44 / $333.49 / $764.91	Professional		$230.44	$333.49	$764.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $129.71 / $248.96	Professional		$60.65	$129.71	$248.96
United Facility/Professional Professional Modifier Low / Median / High Price $251.50 / $310.50 / $552.44	Professional		$251.50	$310.50	$552.44