Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.07 / $63.41 / $85.13	Facility		$57.07	$63.41	$85.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.07 / $63.41 / $85.13	Professional		$57.07	$63.41	$85.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.93 / $75.22 / $115.21	Professional		$63.93	$75.22	$115.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.18 / $65.09 / $98.69	Facility		$10.18	$65.09	$98.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $14.19 / $89.43	Professional		$8.67	$14.19	$89.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.97 / $79.59 / $739.96	Facility		$69.97	$79.59	$739.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.68 / $123.23 / $333.64	Professional		$80.68	$123.23	$333.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $67.84	Professional		$32.34	$32.34	$67.84
United Facility/Professional Professional Modifier Low / Median / High Price $68.87 / $79.95 / $108.54	Professional		$68.87	$79.95	$108.54