Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.60 / $114.60 / $114.60	Facility		$114.60	$114.60	$114.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $100.53 / $143.30	Professional		$53.27	$100.53	$143.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.40 / $113.29 / $167.97	Professional		$55.40	$113.29	$167.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.69 / $206.40 / $249.40	Facility		$120.69	$206.40	$249.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.35 / $189.20 / $344.00	Professional		$148.35	$189.20	$344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.56 / $201.56 / $201.56	Facility		$201.56	$201.56	$201.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $61.92 / $202.42	Professional		$61.92	$61.92	$202.42
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 $42.90 / $77.48 / $113.39	Professional		$42.90	$77.48	$113.39