Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.63 / $59.90 / $87.55	Professional		$28.63	$59.90	$87.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.69 / $51.45 / $94.00	Professional		$29.69	$51.45	$94.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.93 / $43.62 / $46.65	Facility		$24.93	$43.62	$46.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $105.98 / $170.33	Professional		$75.70	$105.98	$170.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.53 / $54.53 / $54.53	Facility		$54.53	$54.53	$54.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $64.36 / $129.75	Professional		$30.68	$64.36	$129.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $45.00	Professional		$32.34	$32.34	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.78 / $68.84 / $106.02	Professional		$53.78	$68.84	$106.02