Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.19 / $65.95 / $69.22	Facility		$48.19	$65.95	$69.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $69.22 / $144.08	Professional		$69.20	$69.22	$144.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.81 / $82.10 / $135.96	Facility		$78.81	$82.10	$135.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.17 / $69.62 / $69.62	Professional		$59.17	$69.62	$69.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.44 / $125.33 / $167.10	Facility		$104.44	$125.33	$167.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $109.61 / $146.78	Professional		$77.36	$109.61	$146.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.22 / $76.14 / $76.14	Facility		$69.22	$76.14	$76.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $103.42 / $103.42	Professional		$76.14	$103.42	$103.42
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 $71.38 / $71.38 / $71.38	Facility		$71.38	$71.38	$71.38
United Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $81.43 / $91.28	Professional		$77.36	$81.43	$91.28