Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $70.13 / $241.53	Facility		$42.90	$70.13	$241.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $45.61 / $56.50	Professional		$35.29	$45.61	$56.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.24 / $48.87 / $57.07	Facility		$14.24	$48.87	$57.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $14.24 / $21.72	Professional		$12.81	$14.24	$21.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.30 / $76.02 / $89.60	Facility		$54.30	$76.02	$89.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $70.59 / $122.18	Professional		$54.30	$70.59	$122.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $41.44 / $65.16	Facility		$35.29	$41.44	$65.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $62.36 / $261.73	Professional		$24.77	$62.36	$261.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $29.87 / $29.87	Professional		$29.87	$29.87	$29.87
United Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $32.58 / $54.30	Professional		$22.81	$32.58	$54.30