Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.27 / $99.27 / $146.75	Facility		$99.27	$99.27	$146.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.27 / $119.34 / $146.75	Professional		$99.27	$119.34	$146.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.43 / $222.85 / $222.85	Professional		$148.43	$222.85	$222.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.70 / $193.33 / $378.12	Facility		$20.70	$193.33	$378.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $208.33 / $354.44	Professional		$23.81	$208.33	$354.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.59 / $123.59 / $319.70	Facility		$123.59	$123.59	$319.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.05 / $123.59 / $251.04	Professional		$105.05	$123.59	$251.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.85 / $130.47 / $167.07	Professional		$97.85	$130.47	$167.07
United Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $136.72 / $224.08	Professional		$74.90	$136.72	$224.08