Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.42 / $120.42 / $120.42	Facility		$120.42	$120.42	$120.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.63 / $150.58 / $172.15	Professional		$74.63	$150.58	$172.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $119.04 / $226.08	Professional		$89.28	$119.04	$226.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $168.96 / $253.04 / $328.72	Facility		$168.96	$253.04	$328.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $198.81 / $256.75 / $446.52	Professional		$198.81	$256.75	$446.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.31 / $238.31 / $238.31	Facility		$238.31	$238.31	$238.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $86.76 / $212.71	Professional		$86.76	$86.76	$212.71
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 $60.11 / $90.17 / $132.24	Professional		$60.11	$90.17	$132.24