Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $74.13 / $131.83	Facility		$43.65	$74.13	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $64.57	Professional		$36.31	$43.65	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $53.70 / $57.54	Facility		$44.67	$53.70	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $21.88	Professional		$14.13	$14.13	$21.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $64.57 / $75.86	Facility		$53.70	$64.57	$75.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $109.65	Professional		$53.70	$67.61	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $87.10 / $87.10	Facility		$35.48	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $263.03 / $263.03	Professional		$41.69	$263.03	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $53.70	Professional		$22.91	$32.36	$53.70