Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.57 / $171.25 / $335.46	Facility		$31.57	$171.25	$335.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.42 / $33.47 / $34.82	Professional		$30.42	$33.47	$34.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.97 / $34.65 / $40.46	Facility		$23.97	$34.65	$40.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $19.01 / $38.15	Professional		$19.01	$19.01	$38.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $46.20 / $54.02	Facility		$38.50	$46.20	$54.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $46.59 / $77.00	Professional		$38.50	$46.59	$77.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.03 / $29.96 / $69.83	Facility		$25.03	$29.96	$69.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $44.19 / $246.04	Professional		$19.64	$44.19	$246.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $21.18 / $21.18	Professional		$21.18	$21.18	$21.18
United Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $32.27 / $53.78	Professional		$16.17	$32.27	$53.78