Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.28 / $109.18 / $183.97	Facility		$105.28	$109.18	$183.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.28 / $109.91 / $150.37	Professional		$105.28	$109.91	$150.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.74 / $183.74 / $218.50	Professional		$183.74	$183.74	$218.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.90 / $261.72 / $318.50	Facility		$158.90	$261.72	$318.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $186.94 / $261.72 / $375.47	Professional		$186.94	$261.72	$375.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.68 / $210.68 / $245.68	Facility		$210.68	$210.68	$245.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $210.68 / $1,027.43	Professional		$153.80	$210.68	$1,027.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $231.77 / $231.77 / $278.12	Professional		$231.77	$231.77	$278.12
United Facility/Professional Professional Modifier Low / Median / High Price $95.13 / $131.62 / $194.17	Professional		$95.13	$131.62	$194.17