Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $389.05	Facility		$47.86	$47.86	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $446.68	Professional		$32.36	$47.86	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $331.13	Professional		$186.21	$281.84	$331.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $138.04 / $398.11	Facility		$54.95	$138.04	$398.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $100.00 / $208.93	Professional		$54.95	$100.00	$208.93
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 $158.49 / $257.04 / $660.69	Professional		$158.49	$257.04	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $251.19	Professional		$213.80	$213.80	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $54.95 / $70.79	Professional		$41.69	$54.95	$70.79