Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.06 / $200.06 / $200.06	Facility		$200.06	$200.06	$200.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $190.23 / $262.93	Professional		$98.88	$190.23	$262.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.97 / $179.78 / $303.89	Professional		$119.97	$179.78	$303.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $300.27 / $405.36 / $493.89	Facility		$300.27	$405.36	$493.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.38 / $360.32 / $600.54	Professional		$275.38	$360.32	$600.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.88 / $351.88 / $351.88	Facility		$351.88	$351.88	$351.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $114.94 / $353.39	Professional		$114.94	$114.94	$353.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.36 / $191.36 / $191.36	Professional		$191.36	$191.36	$191.36
United Facility/Professional Professional Modifier Low / Median / High Price $79.64 / $135.25 / $197.95	Professional		$79.64	$135.25	$197.95