Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.24 / $141.24 / $300.14	Facility		$141.24	$141.24	$300.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.24 / $141.24 / $146.54	Professional		$141.24	$141.24	$146.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.43 / $176.55 / $176.55	Facility		$162.43	$176.55	$176.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $149.71 / $149.71	Professional		$112.28	$149.71	$149.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41,999.58 / $55,999.44 / $69,999.30	Facility		$41,999.58	$55,999.44	$69,999.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.71 / $149.71 / $149.71	Facility		$149.71	$149.71	$149.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $150.07	Professional		$89.34	$89.34	$150.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.80 / $136.80 / $136.80	Professional		$136.80	$136.80	$136.80