Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.66 / $858.36 / $858.36	Facility		$580.66	$858.36	$858.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.40 / $726.41 / $896.80	Professional		$516.40	$726.41	$896.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.26 / $595.16 / $700.20	Professional		$126.26	$595.16	$700.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.13 / $141.47 / $475.20	Facility		$95.13	$141.47	$475.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $126.84 / $175.62	Professional		$97.57	$126.84	$175.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $95.00	Facility		$64.00	$64.00	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $71.76 / $190.49	Professional		$71.76	$71.76	$190.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.51 / $89.32 / $719.35	Professional		$68.51	$89.32	$719.35
United Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $72.88 / $170.35	Professional		$41.68	$72.88	$170.35