Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $69.31 / $102.30	Professional		$26.36	$69.31	$102.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $54.29 / $101.21	Professional		$31.19	$54.29	$101.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $43.57	Facility		$40.74	$40.74	$43.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.99 / $122.95 / $197.60	Professional		$100.99	$122.95	$197.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $50.93 / $50.93	Facility		$50.93	$50.93	$50.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $69.51 / $144.99	Professional		$27.64	$69.51	$144.99
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 $48.39 / $79.69 / $113.00	Professional		$48.39	$79.69	$113.00