Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $537.03	Facility		$47.86	$47.86	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $616.60	Professional		$30.20	$47.86	$616.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $457.09	Professional		$257.04	$389.05	$457.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $194.98 / $549.54	Facility		$77.62	$194.98	$549.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $138.04 / $288.40	Professional		$77.62	$138.04	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $380.19 / $933.25	Professional		$239.88	$380.19	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $346.74	Professional		$323.59	$323.59	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $54.95 / $70.79	Professional		$41.69	$54.95	$70.79