Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.81 / $116.81 / $172.67	Facility		$116.81	$116.81	$172.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.04 / $150.43 / $172.67	Professional		$106.04	$150.43	$172.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.42 / $227.57 / $237.69	Professional		$188.42	$227.57	$237.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $218.84 / $412.65	Facility		$25.44	$218.84	$412.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $250.09 / $401.50	Professional		$30.01	$250.09	$401.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.31 / $166.31 / $326.42	Facility		$166.31	$166.31	$326.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.36 / $166.31 / $267.95	Professional		$141.36	$166.31	$267.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $168.19	Professional		$100.00	$100.00	$168.19
United Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $160.46 / $228.79	Professional		$88.09	$160.46	$228.79