Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.17 / $94.31 / $125.75	Facility		$60.17	$94.31	$125.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $114.09 / $181.18	Professional		$65.11	$114.09	$181.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.27 / $110.58 / $160.53	Professional		$72.27	$110.58	$160.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.33 / $100.44 / $126.64	Facility		$75.33	$100.44	$126.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.61 / $109.18 / $174.68	Professional		$78.61	$109.18	$174.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.77 / $125.77 / $125.77	Facility		$125.77	$125.77	$125.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $143.24 / $295.16	Professional		$85.03	$143.24	$295.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $121.51	Professional		$32.34	$32.34	$121.51
United Facility/Professional Professional Modifier Low / Median / High Price $125.59 / $169.57 / $256.95	Professional		$125.59	$169.57	$256.95