Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.19 / $139.19 / $139.19	Facility		$139.19	$139.19	$139.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $139.19 / $144.41	Professional		$139.19	$139.19	$144.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $30.00 / $32.69	Professional		$25.50	$30.00	$32.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $70.98 / $70.98	Facility		$70.98	$70.98	$70.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $58.31 / $70.98	Professional		$52.58	$58.31	$70.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Facility		$147.90	$147.90	$147.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $145.00 / $149.35	Professional		$145.00	$145.00	$149.35