Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.55 / $92.55 / $136.82	Facility		$92.55	$92.55	$136.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.76 / $103.84 / $136.82	Professional		$77.76	$103.84	$136.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.80 / $179.74 / $179.74	Professional		$134.80	$179.74	$179.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $28.77 / $335.86	Facility		$17.86	$28.77	$335.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $31.74 / $331.18	Professional		$19.84	$31.74	$331.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $112.73 / $200.87	Facility		$112.00	$112.73	$200.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $112.73 / $211.55	Professional		$95.82	$112.73	$211.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.76 / $143.68 / $183.99	Professional		$107.76	$143.68	$183.99
United Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $98.08 / $155.69	Professional		$56.16	$98.08	$155.69