Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $218.78	Facility		$147.91	$147.91	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $204.17 / $239.88	Professional		$147.91	$204.17	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $245.47	Professional		$169.82	$245.47	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $218.78 / $371.54	Facility		$25.12	$218.78	$371.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $295.12 / $489.78	Professional		$37.15	$295.12	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $331.13 / $524.81	Facility		$79.43	$331.13	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $562.34	Professional		$177.83	$245.47	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $123.03 / $199.53	Facility		$15.85	$123.03	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $239.88	Professional		$109.65	$169.82	$239.88