Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $91.20 / $158.49	Facility		$53.70	$91.20	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $53.70 / $79.43	Professional		$48.98	$53.70	$79.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $66.07 / $70.79	Facility		$56.23	$66.07	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $91.20	Professional		$33.11	$54.95	$91.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $79.43 / $93.33	Facility		$66.07	$79.43	$93.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $134.90	Professional		$66.07	$83.18	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $107.15 / $107.15	Facility		$43.65	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $446.68 / $446.68	Professional		$42.66	$446.68	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $56.23 / $93.33	Professional		$28.18	$56.23	$93.33