Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.48 / $79.48 / $117.50	Facility		$79.48	$79.48	$117.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $96.80 / $117.50	Professional		$79.48	$96.80	$117.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.19 / $153.60 / $154.44	Professional		$127.19	$153.60	$154.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.38 / $24.78 / $292.36	Facility		$15.38	$24.78	$292.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $27.34 / $310.79	Professional		$17.09	$27.34	$310.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $64.17 / $220.35	Facility		$64.17	$64.17	$220.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $64.17 / $227.04	Professional		$54.54	$64.17	$227.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $14.38 / $172.66	Professional		$10.11	$14.38	$172.66
United Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $93.49 / $154.44	Professional		$54.00	$93.49	$154.44