Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $263.03	Professional		$134.90	$213.80	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $229.09	Professional		$134.90	$177.83	$229.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $407.38 / $436.52	Facility		$239.88	$407.38	$436.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $602.56	Professional		$302.00	$407.38	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $208.93 / $1,318.26	Professional		$114.82	$208.93	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $134.90 / $190.55	Professional		$79.43	$134.90	$190.55