Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.12 / $89.70 / $99.14	Facility		$78.12	$89.70	$99.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $96.48 / $130.19	Professional		$78.12	$96.48	$130.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $99.33 / $103.91	Professional		$62.69	$99.33	$103.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.82 / $212.79 / $265.98	Facility		$121.82	$212.79	$265.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $212.79 / $303.98	Professional		$162.63	$212.79	$303.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.12 / $178.12 / $178.12	Facility		$178.12	$178.12	$178.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $62.01 / $208.23	Professional		$62.01	$62.01	$208.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $151.99	Professional		$45.00	$45.00	$151.99
United Facility/Professional Professional Modifier Low / Median / High Price $50.55 / $75.83 / $93.25	Professional		$50.55	$75.83	$93.25