Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.44 / $91.44 / $135.16	Facility		$91.44	$91.44	$135.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.44 / $111.49 / $135.16	Professional		$91.44	$111.49	$135.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.22 / $160.26 / $160.26	Professional		$112.22	$160.26	$160.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $175.30 / $334.19	Facility		$20.88	$175.30	$334.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $198.67 / $328.81	Professional		$23.10	$198.67	$328.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.68 / $130.68 / $232.18	Facility		$130.68	$130.68	$232.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $130.68 / $280.56	Professional		$111.08	$130.68	$280.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $141.96	Professional		$100.00	$100.00	$141.96
United Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $106.90 / $158.97	Professional		$68.94	$106.90	$158.97