Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.20 / $61.20 / $106.43	Facility		$61.20	$61.20	$106.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.20 / $101.74 / $117.39	Professional		$61.20	$101.74	$117.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $33.29 / $369.60	Professional		$33.29	$33.29	$369.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $160.28 / $264.45	Facility		$16.03	$160.28	$264.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $102.17 / $136.24	Professional		$13.63	$102.17	$136.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.45 / $98.45 / $187.82	Facility		$98.45	$98.45	$187.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $98.45 / $775.44	Professional		$83.68	$98.45	$775.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $7.98 / $64.84 / $106.43	Facility		$7.98	$64.84	$106.43
United Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $93.91 / $133.04	Professional		$59.87	$93.91	$133.04