Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $616.60	Facility		$47.86	$47.86	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $707.95	Professional		$32.36	$47.86	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $524.81	Professional		$295.12	$446.68	$524.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $223.87 / $630.96	Facility		$91.20	$223.87	$630.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $158.49 / $331.13	Professional		$91.20	$158.49	$331.13
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 $281.84 / $446.68 / $1,071.52	Professional		$281.84	$446.68	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $398.11	Professional		$380.19	$380.19	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $54.95 / $70.79	Professional		$41.69	$54.95	$70.79