Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.15 / $116.70 / $118.97	Facility		$28.15	$116.70	$118.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $116.70 / $123.99	Professional		$31.44	$116.70	$123.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $23.21 / $69.19	Professional		$19.72	$23.21	$69.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.41 / $130.72 / $152.63	Facility		$107.41	$130.72	$152.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.94 / $147.36 / $210.52	Professional		$93.94	$147.36	$210.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.05 / $142.05 / $142.05	Facility		$142.05	$142.05	$142.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.75 / $125.25 / $578.45	Professional		$91.75	$125.25	$578.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $136.84	Professional		$32.34	$32.34	$136.84
United Facility/Professional Professional Modifier Low / Median / High Price $90.47 / $118.56 / $202.66	Professional		$90.47	$118.56	$202.66