Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.16 / $56.16 / $94.48	Facility		$54.16	$56.16	$94.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.16 / $56.54 / $77.31	Professional		$54.16	$56.54	$77.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.03 / $162.57 / $504.43	Professional		$111.03	$162.57	$504.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.39 / $374.60 / $770.00	Facility		$122.39	$374.60	$770.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.73 / $134.88 / $395.41	Professional		$81.73	$134.88	$395.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.08 / $139.08 / $169.95	Facility		$139.08	$139.08	$169.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.17 / $101.53 / $528.51	Professional		$97.17	$101.53	$528.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $308.31 / $308.31 / $369.97	Professional		$308.31	$308.31	$369.97
United Facility/Professional Professional Modifier Low / Median / High Price $48.94 / $67.54 / $99.47	Professional		$48.94	$67.54	$99.47