Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.95 / $98.00 / $544.94	Facility		$63.95	$98.00	$544.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.42 / $98.01 / $119.52	Professional		$94.42	$98.01	$119.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.28 / $50.28 / $50.28	Facility		$50.28	$50.28	$50.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.33 / $66.08 / $82.60	Professional		$59.33	$66.08	$82.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.30 / $89.58 / $137.97	Facility		$73.30	$89.58	$137.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.30 / $118.88 / $194.04	Professional		$84.30	$118.88	$194.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $5.34 / $150.62	Facility		$2.63	$5.34	$150.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.36 / $66.70 / $473.95	Professional		$49.36	$66.70	$473.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Facility Modifier Low / Median / High Price $603.37 / $603.37 / $603.37	Facility		$603.37	$603.37	$603.37
United Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $55.21 / $140.16	Professional		$48.58	$55.21	$140.16