Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.03 / $152.85 / $155.82	Facility		$97.03	$152.85	$155.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.50 / $152.85 / $184.35	Professional		$84.50	$152.85	$184.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.36 / $540.36 / $652.04	Professional		$135.36	$540.36	$652.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $188.83 / $257.10 / $302.48	Facility		$188.83	$257.10	$302.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $184.80 / $264.67 / $378.10	Professional		$184.80	$264.67	$378.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.50 / $216.50 / $216.50	Facility		$216.50	$216.50	$216.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.46 / $199.88 / $767.05	Professional		$118.46	$199.88	$767.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $45.00 / $67.59	Professional		$32.34	$45.00	$67.59
United Facility/Professional Professional Modifier Low / Median / High Price $71.25 / $108.23 / $184.50	Professional		$71.25	$108.23	$184.50