Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.17 / $63.17 / $108.60	Facility		$63.17	$63.17	$108.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.22 / $63.17 / $93.17	Professional		$62.22	$63.17	$93.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.00 / $148.00 / $232.00	Facility		$104.00	$148.00	$232.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $92.07 / $207.66	Professional		$72.20	$92.07	$207.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.60 / $55.97 / $85.16	Facility		$22.60	$55.97	$85.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.59 / $31.90 / $85.16	Professional		$22.59	$31.90	$85.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.55 / $77.55 / $439.62	Facility		$77.55	$77.55	$439.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.39 / $127.30 / $223.97	Professional		$66.39	$127.30	$223.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $86.81	Professional		$32.34	$32.34	$86.81
United Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $98.66 / $152.96	Professional		$67.23	$98.66	$152.96