Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $79.43 / $144.54	Facility		$46.77	$79.43	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $45.71 / $57.54	Professional		$42.66	$45.71	$57.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $57.54 / $61.66	Facility		$48.98	$57.54	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $47.86 / $79.43	Professional		$28.84	$47.86	$79.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $69.18 / $81.28	Facility		$57.54	$69.18	$81.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $114.82	Professional		$57.54	$72.44	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $83.18 / $295.12	Professional		$5.01	$83.18	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $48.98 / $81.28	Professional		$24.55	$48.98	$81.28