Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $309.03	Facility		$47.86	$47.86	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $354.81	Professional		$32.36	$47.86	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $263.03	Professional		$147.91	$223.87	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $112.20 / $316.23	Facility		$41.69	$112.20	$316.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $79.43 / $165.96	Professional		$41.69	$79.43	$165.96
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 $120.23 / $190.55 / $524.81	Professional		$120.23	$190.55	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $199.53	Professional		$162.18	$162.18	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $54.95 / $70.79	Professional		$41.69	$54.95	$70.79