Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.69 / $77.42 / $419.95	Facility		$18.69	$77.42	$419.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.53 / $77.42 / $94.41	Professional		$75.53	$77.42	$94.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.77 / $84.97 / $99.22	Facility		$58.77	$84.97	$99.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $37.76 / $127.61	Professional		$37.76	$37.76	$127.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.96 / $132.16 / $155.78	Facility		$115.96	$132.16	$155.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.57 / $132.16 / $188.82	Professional		$108.57	$132.16	$188.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.45 / $113.29 / $177.29	Facility		$73.45	$113.29	$177.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.93 / $147.00 / $455.06	Professional		$113.93	$147.00	$455.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.85 / $103.85 / $103.85	Professional		$103.85	$103.85	$103.85
United Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $56.65 / $94.41	Professional		$39.65	$56.65	$94.41