Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.62 / $104.62 / $104.62	Facility		$104.62	$104.62	$104.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.60 / $96.10 / $130.82	Professional		$49.60	$96.10	$130.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $103.43 / $156.40	Professional		$54.19	$103.43	$156.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.23 / $181.98 / $227.68	Facility		$112.23	$181.98	$227.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.18 / $176.68 / $314.04	Professional		$142.18	$176.68	$314.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.01 / $184.01 / $184.01	Facility		$184.01	$184.01	$184.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $184.80	Professional		$57.66	$57.66	$184.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $56.00	Professional		$45.00	$45.00	$56.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.95 / $70.73 / $103.52	Professional		$39.95	$70.73	$103.52