Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $54.45 / $306.58	Facility		$36.00	$54.45	$306.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.45 / $56.51 / $68.92	Professional		$54.45	$56.51	$68.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $62.03 / $72.43	Facility		$38.22	$62.03	$72.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $38.22 / $38.22	Professional		$32.40	$38.22	$38.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.92 / $96.49 / $113.72	Facility		$68.92	$96.49	$113.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $89.60 / $155.07	Professional		$68.92	$89.60	$155.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.80 / $52.60 / $82.70	Facility		$44.80	$52.60	$82.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $79.30 / $332.19	Professional		$34.18	$79.30	$332.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $37.90 / $37.90	Professional		$37.90	$37.90	$37.90
United Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $48.62 / $75.81	Professional		$28.95	$48.62	$75.81