Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.86 / $94.86 / $140.22	Facility		$94.86	$94.86	$140.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.07 / $108.31 / $140.22	Professional		$92.07	$108.31	$140.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.55 / $113.17 / $161.11	Professional		$108.55	$113.17	$161.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.67 / $164.14 / $301.19	Facility		$21.67	$164.14	$301.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $200.27 / $314.14	Professional		$23.19	$200.27	$314.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.41 / $134.41 / $253.88	Facility		$134.41	$134.41	$253.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $134.41 / $1,027.61	Professional		$114.26	$134.41	$1,027.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $15.58 / $155.76	Professional		$12.16	$15.58	$155.76
United Facility/Professional Professional Modifier Low / Median / High Price $62.91 / $100.54 / $142.82	Professional		$62.91	$100.54	$142.82