Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $151.36	Professional		$141.25	$147.91	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $181.97	Professional		$109.65	$141.25	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $117.49	Facility		$79.43	$79.43	$117.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $114.82	Professional		$77.62	$102.33	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $281.84 / $281.84	Facility		$151.36	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $794.33	Professional		$151.36	$151.36	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $158.49	Professional		$44.67	$44.67	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $144.54 / $162.18	Professional		$125.89	$144.54	$162.18