Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.35 / $93.35 / $93.35	Facility		$93.35	$93.35	$93.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $99.47 / $122.68	Professional		$53.55	$99.47	$122.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.11 / $92.28 / $168.88	Professional		$56.11	$92.28	$168.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.30 / $189.14 / $209.01	Facility		$121.30	$189.14	$209.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $150.22 / $178.60 / $293.92	Professional		$150.22	$178.60	$293.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.89 / $169.89 / $169.89	Facility		$169.89	$169.89	$169.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.26 / $62.26 / $164.89	Professional		$62.26	$62.26	$164.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.14 / $65.17 / $92.37	Professional		$43.14	$65.17	$92.37