Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $69.43 / $390.87	Facility		$19.95	$69.43	$390.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.43 / $72.06 / $87.88	Professional		$69.43	$72.06	$87.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $79.09 / $92.36	Facility		$54.71	$79.09	$92.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $35.15 / $66.81	Professional		$31.29	$35.15	$66.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.88 / $123.03 / $145.00	Facility		$87.88	$123.03	$145.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.03 / $114.24 / $175.76	Professional		$94.03	$114.24	$175.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.12 / $68.38 / $105.46	Facility		$57.12	$68.38	$105.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $98.85 / $423.58	Professional		$40.29	$98.85	$423.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.33 / $48.33 / $48.33	Professional		$48.33	$48.33	$48.33
United Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $53.99 / $96.67	Professional		$36.90	$53.99	$96.67