Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.63 / $140.58 / $187.48	Professional		$88.63	$140.58	$187.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.81 / $157.43 / $180.05	Professional		$133.81	$157.43	$180.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.43 / $131.60 / $190.82	Facility		$130.43	$131.60	$190.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.69 / $131.60 / $210.56	Professional		$119.69	$131.60	$210.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.52 / $162.52 / $162.52	Facility		$162.52	$162.52	$162.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.22 / $164.62 / $769.37	Professional		$134.22	$164.62	$769.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $146.96 / $166.98 / $265.33	Professional		$146.96	$166.98	$265.33