Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.19 / $145.19 / $145.19	Facility		$145.19	$145.19	$145.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.99 / $180.60 / $221.26	Professional		$89.99	$180.60	$221.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.66 / $143.55 / $272.61	Professional		$107.66	$143.55	$272.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $203.75 / $305.08 / $406.80	Facility		$203.75	$305.08	$406.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $239.71 / $315.98 / $581.14	Professional		$239.71	$315.98	$581.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.73 / $283.73 / $283.73	Facility		$283.73	$283.73	$283.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $104.60 / $256.48	Professional		$104.60	$104.60	$256.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $108.72 / $167.54	Professional		$72.48	$108.72	$167.54