Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.07 / $120.07 / $177.49	Facility		$120.07	$120.07	$177.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.19 / $150.76 / $177.49	Professional		$114.19	$150.76	$177.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.51 / $245.02 / $246.40	Professional		$195.51	$245.02	$246.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $226.88 / $431.95	Facility		$25.17	$226.88	$431.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $261.79 / $421.25	Professional		$30.20	$261.79	$421.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $160.96 / $351.50	Facility		$160.96	$160.96	$351.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $160.96 / $288.54	Professional		$136.82	$160.96	$288.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $100.00 / $176.46	Professional		$17.64	$100.00	$176.46
United Facility/Professional Professional Modifier Low / Median / High Price $92.62 / $161.51 / $246.37	Professional		$92.62	$161.51	$246.37