Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.23 / $177.55 / $414.67	Facility		$62.23	$177.55	$414.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $63.02 / $72.47	Professional		$33.14	$63.02	$72.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $70.89 / $82.79	Facility		$19.14	$70.89	$82.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $18.72 / $31.51	Professional		$18.72	$18.72	$31.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.77 / $94.52 / $110.75	Facility		$78.77	$94.52	$110.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.77 / $95.32 / $157.54	Professional		$78.77	$95.32	$157.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.20 / $60.11 / $94.52	Facility		$51.20	$60.11	$94.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $88.60 / $379.67	Professional		$19.03	$88.60	$379.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $43.32 / $43.32	Professional		$43.32	$43.32	$43.32
United Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $24.86 / $51.36	Professional		$18.88	$24.86	$51.36