Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.11 / $168.45 / $183.46	Facility		$124.11	$168.45	$183.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.22 / $147.68 / $183.46	Professional		$127.22	$147.68	$183.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.70 / $181.70 / $208.60	Professional		$181.70	$181.70	$208.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.08 / $42.31 / $524.29	Facility		$23.08	$42.31	$524.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $42.31 / $492.70	Professional		$24.36	$42.31	$492.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.88 / $178.86 / $347.70	Facility		$156.88	$178.86	$347.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $152.03 / $1,094.48	Professional		$30.44	$152.03	$1,094.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $21.58 / $293.58	Professional		$15.47	$21.58	$293.58
United Facility/Professional Professional Modifier Low / Median / High Price $73.62 / $127.11 / $193.39	Professional		$73.62	$127.11	$193.39