Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $50.88 / $286.51	Facility		$40.11	$50.88	$286.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $52.82 / $75.23	Professional		$50.88	$52.82	$75.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.10 / $57.97 / $67.69	Facility		$40.10	$57.97	$67.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.42 / $19.42 / $31.81	Professional		$19.42	$19.42	$31.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $90.17 / $106.28	Facility		$64.41	$90.17	$106.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $83.73 / $128.82	Professional		$68.92	$83.73	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.87 / $50.12 / $116.81	Facility		$41.87	$50.12	$116.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.69 / $73.93 / $413.16	Professional		$32.69	$73.93	$413.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $35.43 / $35.43	Professional		$35.43	$35.43	$35.43
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $53.99 / $89.99	Professional		$27.05	$53.99	$89.99