Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $59.81 / $100.69	Facility		$57.67	$59.81	$100.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $60.21 / $82.30	Professional		$57.67	$60.21	$82.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.14 / $157.91 / $157.91	Professional		$118.14	$157.91	$157.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.32 / $212.84 / $468.24	Facility		$130.32	$212.84	$468.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.41 / $143.63 / $283.77	Professional		$102.41	$143.63	$283.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $56.50 / $187.04	Facility		$56.50	$56.50	$187.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $56.50 / $562.83	Professional		$41.25	$56.50	$562.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $210.21 / $210.21 / $252.25	Professional		$210.21	$210.21	$252.25
United Facility/Professional Professional Modifier Low / Median / High Price $49.15 / $71.58 / $106.31	Professional		$49.15	$71.58	$106.31