Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.57 / $75.42 / $86.59	Facility		$48.57	$75.42	$86.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.57 / $89.38 / $125.69	Professional		$48.57	$89.38	$125.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.02 / $93.64 / $93.64	Professional		$63.02	$93.64	$93.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.05 / $205.42 / $242.10	Facility		$110.05	$205.42	$242.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $146.72 / $183.41 / $242.10	Professional		$146.72	$183.41	$242.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $88.15 / $171.95	Facility		$88.15	$88.15	$171.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $88.15 / $709.89	Professional		$74.93	$88.15	$709.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.14 / $100.18 / $190.75	Professional		$82.14	$100.18	$190.75
United Facility/Professional Facility Modifier Low / Median / High Price $49.35 / $72.59 / $97.64	Facility		$49.35	$72.59	$97.64
United Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $69.66 / $96.74	Professional		$46.87	$69.66	$96.74