Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $141.25 / $141.25	Facility		$138.04	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $141.25 / $204.17	Professional		$131.83	$141.25	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $117.49	Professional		$63.10	$95.50	$117.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $158.49 / $186.21	Facility		$131.83	$158.49	$186.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $213.80	Professional		$114.82	$173.78	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $154.88 / $707.95	Professional		$83.18	$154.88	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $239.88	Professional		$77.62	$125.89	$239.88