Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $141.25	Facility		$93.33	$93.33	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $151.36	Professional		$93.33	$120.23	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $162.18	Professional		$109.65	$151.36	$162.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $147.91 / $234.42	Facility		$16.22	$147.91	$234.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $199.53 / $316.23	Professional		$23.44	$199.53	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $213.80 / $338.84	Facility		$51.29	$213.80	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $194.98	Professional		$114.82	$134.90	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.49 / $154.88	Professional		$12.02	$15.49	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $69.18 / $123.03	Facility		$9.12	$69.18	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $97.72 / $134.90	Professional		$63.10	$97.72	$134.90