Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.97 / $121.97 / $121.97	Facility		$121.97	$121.97	$121.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $149.47 / $163.19	Professional		$75.59	$149.47	$163.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.43 / $120.58 / $229.00	Professional		$90.43	$120.58	$229.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $171.16 / $256.27 / $337.42	Facility		$171.16	$256.27	$337.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $201.37 / $256.27 / $424.68	Professional		$201.37	$256.27	$424.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $87.87 / $215.45	Professional		$87.87	$87.87	$215.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $106.04	Professional		$45.00	$45.00	$106.04
United Facility/Professional Professional Modifier Low / Median / High Price $60.88 / $91.33 / $135.63	Professional		$60.88	$91.33	$135.63