Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.76 / $83.85 / $472.10	Facility		$45.76	$83.85	$472.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.85 / $87.03 / $106.14	Professional		$83.85	$87.03	$106.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.72 / $95.53 / $111.55	Facility		$54.72	$95.53	$111.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.08 / $53.44 / $77.90	Professional		$40.08	$53.44	$77.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.14 / $148.60 / $175.13	Facility		$106.14	$148.60	$175.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.57 / $137.97 / $212.28	Professional		$113.57	$137.97	$212.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.98 / $82.59 / $127.37	Facility		$68.98	$82.59	$127.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.18 / $119.39 / $511.59	Professional		$43.18	$119.39	$511.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.38 / $58.38 / $58.38	Professional		$58.38	$58.38	$58.38
United Facility/Professional Professional Modifier Low / Median / High Price $44.58 / $54.72 / $116.64	Professional		$44.58	$54.72	$116.64