Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $288.40	Facility		$194.98	$194.98	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $309.03	Professional		$194.98	$257.04	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $331.13	Professional		$295.12	$309.03	$331.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $44.67 / $524.81	Facility		$28.84	$44.67	$524.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $741.31	Professional		$42.66	$61.66	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $346.74 / $691.83	Facility		$69.18	$346.74	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $354.81	Professional		$186.21	$218.78	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $100.00 / $316.23	Professional		$40.74	$100.00	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $165.96 / $295.12	Facility		$21.88	$165.96	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $316.23	Professional		$147.91	$218.78	$316.23