Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.27 / $171.62 / $344.63	Facility		$121.27	$171.62	$344.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.80 / $171.62 / $192.96	Professional		$105.80	$171.62	$192.96
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 $198.65 / $270.45 / $321.16	Facility		$198.65	$270.45	$321.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $206.29 / $268.45 / $397.72	Professional		$206.29	$268.45	$397.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.35 / $234.35 / $234.35	Facility		$234.35	$234.35	$234.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.11 / $224.56 / $899.60	Professional		$133.11	$224.56	$899.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $45.00 / $67.59	Professional		$35.10	$45.00	$67.59
United Facility/Professional Professional Modifier Low / Median / High Price $71.25 / $112.50 / $201.53	Professional		$71.25	$112.50	$201.53