Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $134.90	Professional		$95.50	$114.82	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $131.83	Professional		$75.86	$100.00	$131.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $194.98 / $208.93	Facility		$114.82	$194.98	$208.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $288.40	Professional		$141.25	$194.98	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $100.00 / $691.83	Professional		$58.88	$100.00	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $70.79 / $97.72	Professional		$40.74	$70.79	$97.72