Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.11 / $118.02 / $250.36	Facility		$37.11	$118.02	$250.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.52 / $42.28 / $44.63	Professional		$38.52	$42.28	$44.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.25 / $42.28 / $49.38	Facility		$29.25	$42.28	$49.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $23.20 / $46.56	Professional		$22.23	$23.20	$46.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.98 / $56.38 / $65.81	Facility		$46.98	$56.38	$65.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.98 / $56.85 / $93.96	Professional		$46.98	$56.85	$93.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $36.56 / $111.99	Facility		$30.54	$36.56	$111.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $54.10 / $301.13	Professional		$23.94	$54.10	$301.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $25.84 / $25.84	Professional		$25.84	$25.84	$25.84
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $38.36 / $65.65	Professional		$19.73	$38.36	$65.65