Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $309.03	Facility		$208.93	$208.93	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $331.13	Professional		$208.93	$281.84	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $380.19	Professional		$316.23	$380.19	$380.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $53.70 / $549.54	Facility		$33.88	$53.70	$549.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $72.44 / $758.58	Professional		$45.71	$72.44	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $338.84 / $549.54	Facility		$81.28	$338.84	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $426.58	Professional		$281.84	$331.13	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $331.13 / $426.58	Professional		$34.67	$331.13	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $199.53 / $302.00	Facility		$26.30	$199.53	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $380.19	Professional		$151.36	$251.19	$380.19