Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.01 / $173.01 / $255.75	Facility		$173.01	$173.01	$255.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.85 / $200.87 / $255.75	Professional		$154.85	$200.87	$255.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.13 / $332.24 / $334.10	Professional		$275.13	$332.24	$334.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $324.24 / $626.86	Facility		$37.61	$324.24	$626.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $372.69 / $614.94	Professional		$44.72	$372.69	$614.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.17 / $243.17 / $476.64	Facility		$243.17	$243.17	$476.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.69 / $243.17 / $391.27	Professional		$206.69	$243.17	$391.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $100.00 / $262.59	Professional		$26.25	$100.00	$262.59
United Facility/Professional Professional Modifier Low / Median / High Price $130.46 / $215.30 / $334.08	Professional		$130.46	$215.30	$334.08