Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.22 / $100.22 / $100.22	Facility		$100.22	$100.22	$100.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.85 / $101.81 / $109.65	Professional		$94.85	$101.81	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $97.02 / $117.60	Professional		$51.30	$97.02	$117.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.12 / $120.79 / $171.44	Facility		$62.12	$120.79	$171.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $85.16 / $166.61	Professional		$52.80	$85.16	$166.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.45 / $208.45 / $208.45	Facility		$208.45	$208.45	$208.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.95 / $97.59 / $198.33	Professional		$60.95	$97.59	$198.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $68.54 / $123.18 / $243.90	Professional		$68.54	$123.18	$243.90