Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.35 / $27.35 / $69.20	Facility		$27.35	$27.35	$69.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $69.20 / $110.35	Professional		$27.17	$69.20	$110.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $54.63 / $92.20	Professional		$36.67	$54.63	$92.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.36 / $36.24 / $44.02	Facility		$29.36	$36.24	$44.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $58.80 / $149.00	Professional		$32.34	$58.80	$149.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $51.45 / $51.45	Facility		$51.45	$51.45	$51.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $67.40 / $124.88	Professional		$28.80	$67.40	$124.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $32.34 / $32.34	Professional		$25.45	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $77.20 / $106.42	Professional		$63.07	$77.20	$106.42