Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.49 / $119.40 / $265.55	Facility		$42.49	$119.40	$265.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $108.02 / $157.72	Professional		$42.49	$108.02	$157.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.82 / $99.02 / $178.00	Professional		$40.82	$99.02	$178.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.68 / $55.33 / $65.70	Facility		$40.68	$55.33	$65.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.68 / $57.36 / $154.25	Professional		$40.68	$57.36	$154.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $71.19 / $142.62	Facility		$71.19	$71.19	$142.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.84 / $116.91 / $218.28	Professional		$44.84	$116.91	$218.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $143.22	Professional		$32.34	$32.34	$143.22
United Facility/Professional Professional Modifier Low / Median / High Price $102.81 / $130.28 / $185.69	Professional		$102.81	$130.28	$185.69