Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.73 / $226.73 / $335.17	Facility		$226.73	$226.73	$335.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.22 / $276.73 / $335.17	Professional		$185.22	$276.73	$335.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.05 / $393.87 / $428.07	Professional		$321.05	$393.87	$428.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.28 / $71.34 / $817.06	Facility		$44.28	$71.34	$817.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $78.72 / $788.89	Professional		$49.20	$78.72	$788.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.00 / $238.50 / $541.24	Facility		$235.00	$238.50	$541.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.73 / $238.50 / $951.37	Professional		$202.73	$238.50	$951.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.67 / $41.43 / $438.27	Professional		$25.67	$41.43	$438.27
United Facility/Professional Facility Modifier Low / Median / High Price $25.89 / $151.22 / $226.90	Facility		$25.89	$151.22	$226.90
United Facility/Professional Professional Modifier Low / Median / High Price $113.61 / $172.93 / $253.39	Professional		$113.61	$172.93	$253.39