Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $48.59 / $273.55	Facility		$4.51	$48.59	$273.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.13 / $49.20 / $59.66	Professional		$40.13	$49.20	$59.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.20 / $55.35 / $64.64	Facility		$29.20	$55.35	$64.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $20.73 / $45.14	Professional		$15.54	$20.73	$45.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.50 / $77.48 / $98.40	Facility		$61.50	$77.48	$98.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.50 / $79.95 / $138.38	Professional		$61.50	$79.95	$138.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $47.48 / $89.79	Facility		$39.97	$47.48	$89.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $69.18 / $296.43	Professional		$23.04	$69.18	$296.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $33.83 / $33.83	Professional		$33.83	$33.83	$33.83
United Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $29.01 / $62.40	Professional		$24.60	$29.01	$62.40