Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $302.00	Professional		$177.83	$208.93	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $257.04	Professional		$141.25	$165.96	$257.04
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $245.47 / $389.05	Professional	50	$208.93	$245.47	$389.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $275.42	Professional		$165.96	$234.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.00 / $933.25	Professional		$177.83	$302.00	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $346.74	Professional		$162.18	$239.88	$346.74