Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $78.76 / $454.59	Facility		$51.10	$78.76	$454.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $81.76 / $98.71	Professional		$51.10	$81.76	$98.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Facility		$14.52	$14.52	$14.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $19.04 / $49.39	Professional		$19.04	$19.04	$49.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.33 / $100.48 / $118.58	Facility		$73.33	$100.48	$118.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.77 / $98.93 / $143.54	Professional		$71.77	$98.93	$143.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $4.45 / $125.64	Facility		$2.19	$4.45	$125.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $64.83 / $190.63	Professional		$36.29	$64.83	$190.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $67.59	Professional		$45.00	$45.00	$67.59
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.08 / $86.84	Professional		$38.90	$51.08	$86.84