Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.19 / $147.19 / $217.59	Facility		$147.19	$147.19	$217.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.13 / $180.54 / $217.59	Professional		$137.13	$180.54	$217.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.66 / $294.25 / $295.88	Professional		$243.66	$294.25	$295.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.27 / $280.38 / $518.73	Facility		$31.27	$280.38	$518.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.38 / $314.38 / $514.02	Professional		$37.38	$314.38	$514.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.05 / $204.05 / $422.13	Facility		$204.05	$204.05	$422.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.44 / $204.05 / $1,508.37	Professional		$173.44	$204.05	$1,508.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $100.00 / $211.46	Professional		$21.14	$100.00	$211.46
United Facility/Professional Facility Modifier Low / Median / High Price $16.35 / $138.94 / $185.26	Facility		$16.35	$138.94	$185.26
United Facility/Professional Professional Modifier Low / Median / High Price $111.01 / $183.98 / $295.88	Professional		$111.01	$183.98	$295.88