Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.70 / $116.70 / $116.70	Facility		$116.70	$116.70	$116.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $141.71 / $157.47	Professional		$69.62	$141.71	$157.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.52 / $115.37 / $219.10	Professional		$86.52	$115.37	$219.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.68 / $245.22 / $325.29	Facility		$157.68	$245.22	$325.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $192.68 / $245.22 / $410.18	Professional		$192.68	$245.22	$410.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.54 / $220.54 / $220.54	Facility		$220.54	$220.54	$220.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $80.93 / $206.15	Professional		$80.93	$80.93	$206.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $102.58	Professional		$45.00	$45.00	$102.58
United Facility/Professional Professional Modifier Low / Median / High Price $56.08 / $87.39 / $121.47	Professional		$56.08	$87.39	$121.47