Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.19 / $312.19 / $312.19	Facility		$211.19	$312.19	$312.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.19 / $262.73 / $328.72	Professional		$211.19	$262.73	$328.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $300.39 / $300.39	Professional		$36.14	$300.39	$300.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.06 / $58.35 / $75.59	Facility		$45.06	$58.35	$75.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.68 / $56.33 / $74.69	Professional		$46.68	$56.33	$74.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $318.39 / $318.39	Facility		$64.00	$318.39	$318.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $270.64 / $318.39	Professional		$43.37	$270.64	$318.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.75 / $34.75 / $45.26	Professional		$34.75	$34.75	$45.26
United Facility/Professional Professional Modifier Low / Median / High Price $15.81 / $25.41 / $43.89	Professional		$15.81	$25.41	$43.89