Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $77.62 / $77.62	Facility		$70.79	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $128.82	Professional		$57.54	$77.62	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $56.23 / $93.33	Professional		$48.98	$56.23	$93.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $72.44 / $104.71	Facility		$15.85	$72.44	$104.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.50 / $22.91	Professional		$14.13	$19.50	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $79.43 / $128.82	Facility		$24.55	$79.43	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $97.72 / $389.05	Professional		$53.70	$97.72	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $33.11	Professional		$19.95	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $69.18 / $117.49	Professional		$43.65	$69.18	$117.49