Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.67 / $78.12 / $141.16	Facility		$49.67	$78.12	$141.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.67 / $72.68 / $141.16	Professional		$49.67	$72.68	$141.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.68 / $166.00 / $259.00	Facility		$122.68	$166.00	$259.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $60.66 / $83.80	Professional		$28.31	$60.66	$83.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.02 / $81.67 / $101.12	Facility		$71.02	$81.67	$101.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $82.86 / $102.98	Professional		$71.02	$82.86	$102.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $75.00 / $90.00	Facility		$45.00	$75.00	$90.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.22 / $75.37 / $121.98	Professional		$42.22	$75.37	$121.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $32.34 / $32.34	Professional		$15.91	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $58.26 / $83.82 / $138.22	Professional		$58.26	$83.82	$138.22