Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.17 / $31.17 / $52.79	Facility		$31.17	$31.17	$52.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $52.79 / $60.97	Professional		$31.17	$52.79	$60.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $2,597.46 / $4,041.32	Professional		$70.38	$2,597.46	$4,041.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.76 / $426.30 / $1,850.94	Facility		$58.76	$426.30	$1,850.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.84 / $324.87 / $1,233.96	Professional		$58.84	$324.87	$1,233.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.30 / $70.30 / $70.30	Facility		$70.30	$70.30	$70.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.67 / $294.64 / $294.64	Professional		$80.67	$294.64	$294.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.10 / $33.10 / $35.64	Professional		$33.10	$33.10	$35.64
United Facility/Professional Professional Modifier Low / Median / High Price $54.57 / $71.73 / $109.09	Professional		$54.57	$71.73	$109.09