Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $113.25 / $167.42	Facility		$113.25	$113.25	$167.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.25 / $152.03 / $168.42	Professional		$113.25	$152.03	$168.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $172.42 / $208.65	Professional		$142.00	$172.42	$208.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $36.64 / $260.14	Facility		$18.95	$36.64	$260.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.12 / $39.72 / $364.20	Professional		$24.12	$39.72	$364.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.27 / $174.27 / $278.62	Facility		$174.27	$174.27	$278.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $174.27 / $1,167.79	Professional		$19.86	$174.27	$1,167.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $20.23 / $202.33	Professional		$11.85	$20.23	$202.33
United Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $126.44 / $172.42	Professional		$68.00	$126.44	$172.42