Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.64 / $393.29 / $846.06	Facility		$89.64	$393.29	$846.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.64 / $170.16 / $187.27	Professional		$89.64	$170.16	$187.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $249.00 / $293.00 / $293.00	Facility		$249.00	$293.00	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $177.96 / $300.00	Professional		$133.47	$177.96	$300.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.25 / $57.57 / $113.99	Facility		$36.25	$57.57	$113.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $58.15 / $113.99	Professional		$38.38	$58.15	$113.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.96 / $112.96 / $112.96	Facility		$112.96	$112.96	$112.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $78.91 / $447.44	Professional		$78.91	$78.91	$447.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $230.28	Professional		$32.34	$32.34	$230.28
United Facility/Professional Professional Modifier Low / Median / High Price $140.58 / $207.17 / $355.67	Professional		$140.58	$207.17	$355.67