Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.64 / $200.64 / $200.64	Facility		$200.64	$200.64	$200.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.64 / $200.64 / $281.43	Professional		$174.64	$200.64	$281.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.64 / $225.00 / $322.02	Professional		$181.64	$225.00	$322.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $200.14 / $262.58 / $320.22	Facility		$200.14	$262.58	$320.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $206.65 / $277.52 / $426.96	Professional		$206.65	$277.52	$426.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.67 / $264.67 / $264.67	Facility		$264.67	$264.67	$264.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.56 / $281.45 / $478.01	Professional		$216.56	$281.45	$478.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $277.52	Professional		$32.34	$32.34	$277.52
United Facility/Professional Professional Modifier Low / Median / High Price $207.80 / $257.19 / $395.39	Professional		$207.80	$257.19	$395.39