Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $229.09	Facility		$154.88	$154.88	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $269.15	Professional		$162.18	$229.09	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $208.93	Professional		$141.25	$186.21	$208.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $239.88 / $389.05	Facility		$26.92	$239.88	$389.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $331.13 / $512.86	Professional		$38.02	$331.13	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $363.08 / $575.44	Facility		$87.10	$363.08	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $346.74	Professional		$204.17	$239.88	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $257.04	Professional		$19.95	$25.70	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $123.03 / $218.78	Facility		$16.22	$123.03	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $234.42	Professional		$112.20	$165.96	$234.42