Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.35 / $178.35 / $178.35	Facility		$178.35	$178.35	$178.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.53 / $218.57 / $271.77	Professional		$110.53	$218.57	$271.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.24 / $176.32 / $334.86	Professional		$132.24	$176.32	$334.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $250.15 / $374.77 / $499.70	Facility		$250.15	$374.77	$499.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $294.45 / $388.15 / $713.86	Professional		$294.45	$388.15	$713.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $341.55 / $341.55 / $341.55	Facility		$341.55	$341.55	$341.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $128.49 / $315.05	Professional		$128.49	$128.49	$315.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $148.26	Professional		$45.00	$45.00	$148.26
United Facility/Professional Professional Modifier Low / Median / High Price $89.03 / $135.85 / $205.80	Professional		$89.03	$135.85	$205.80