Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $95.50 / $165.96	Facility		$57.54	$95.50	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $57.54 / $83.18	Professional		$52.48	$57.54	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $69.18 / $72.44	Facility		$57.54	$69.18	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $53.70	Professional		$27.54	$27.54	$53.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $83.18 / $97.72	Facility		$69.18	$83.18	$97.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $138.04	Professional		$69.18	$87.10	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $112.20 / $112.20	Facility		$45.71	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $338.84 / $338.84	Professional		$53.70	$338.84	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $69.18	Professional		$29.51	$41.69	$69.18