Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.08 / $183.08 / $270.64	Facility		$183.08	$183.08	$270.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.08 / $254.33 / $270.64	Professional		$183.08	$254.33	$270.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.00 / $293.45 / $307.75	Professional		$243.00	$293.45	$307.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.37 / $60.64 / $606.46	Facility		$31.37	$60.64	$606.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.74 / $60.64 / $692.12	Professional		$39.74	$60.64	$692.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.34 / $240.34 / $464.91	Facility		$240.34	$240.34	$464.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.60 / $240.34 / $345.58	Professional		$178.60	$240.34	$345.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $300.28	Professional		$100.00	$100.00	$300.28
United Facility/Professional Professional Modifier Low / Median / High Price $138.72 / $208.28 / $295.07	Professional		$138.72	$208.28	$295.07