Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.19 / $95.19 / $95.19	Facility		$95.19	$95.19	$95.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.19 / $108.78 / $135.97	Professional		$95.19	$108.78	$135.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $100.00 / $139.52	Professional		$75.00	$100.00	$139.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.55 / $200.02 / $228.59	Facility		$117.55	$200.02	$228.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.93 / $192.87 / $321.45	Professional		$148.93	$192.87	$321.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.42 / $167.42 / $167.42	Facility		$167.42	$167.42	$167.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $168.13	Professional		$58.29	$58.29	$168.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $180.00 / $234.00	Professional		$135.00	$180.00	$234.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $71.27 / $95.04	Professional		$40.39	$71.27	$95.04