Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $251.19	Facility		$169.82	$169.82	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $269.15	Professional		$169.82	$229.09	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $295.12	Professional		$208.93	$208.93	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $269.15 / $457.09	Facility		$30.20	$269.15	$457.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $380.19 / $616.60	Professional		$40.74	$380.19	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $331.13 / $616.60	Facility		$93.33	$331.13	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $331.13	Professional		$229.09	$269.15	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $275.42	Professional		$100.00	$100.00	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $165.96 / $245.47	Facility		$19.95	$165.96	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $208.93 / $295.12	Professional		$128.82	$208.93	$295.12