Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.48 / $158.94 / $176.61	Facility		$29.48	$158.94	$176.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $176.93 / $201.05	Professional		$29.48	$176.93	$201.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $54.80 / $54.80	Professional		$32.60	$54.80	$54.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.52 / $353.75 / $452.69	Facility		$111.52	$353.75	$452.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $204.65 / $398.28	Professional		$20.71	$204.65	$398.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.13 / $261.13 / $261.13	Facility		$261.13	$261.13	$261.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.26 / $182.29 / $182.29	Professional		$23.26	$182.29	$182.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.35 / $193.05 / $193.05	Professional		$163.35	$193.05	$193.05
United Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $177.97 / $279.76	Professional		$100.78	$177.97	$279.76