Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $173.00 / $173.00	Facility		$173.00	$173.00	$173.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $173.00 / $173.00	Professional		$173.00	$173.00	$173.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.08 / $203.52 / $203.52	Professional		$108.08	$203.52	$203.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $297.58 / $338.62 / $444.58	Facility		$297.58	$338.62	$444.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $263.02 / $263.02	Facility		$70.00	$263.02	$263.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.01 / $192.01 / $263.02	Professional		$192.01	$192.01	$263.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $614.21 / $614.21 / $614.21	Professional		$614.21	$614.21	$614.21