Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.44 / $171.44 / $253.44	Facility		$171.44	$171.44	$253.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.44 / $208.05 / $242.03	Professional		$163.44	$208.05	$242.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.91 / $187.35 / $288.20	Professional		$142.91	$187.35	$288.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.37 / $56.78 / $524.80	Facility		$29.37	$56.78	$524.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $64.61 / $524.80	Professional		$37.20	$64.61	$524.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.50 / $240.50 / $370.20	Facility		$240.50	$240.50	$370.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $204.52 / $1,548.18	Professional		$26.88	$204.52	$1,548.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $28.15 / $281.50	Professional		$16.48	$28.15	$281.50
United Facility/Professional Professional Modifier Low / Median / High Price $96.02 / $144.81 / $219.41	Professional		$96.02	$144.81	$219.41