Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $85.79 / $148.44	Facility		$81.70	$85.79	$148.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $88.06 / $137.68	Professional		$80.09	$88.06	$137.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $58.75 / $90.95	Professional		$28.78	$58.75	$90.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.98 / $89.69 / $111.17	Facility		$77.98	$89.69	$111.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $91.20 / $111.81	Professional		$77.98	$91.20	$111.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $75.00 / $112.76	Facility		$65.00	$75.00	$112.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $92.64 / $134.57	Professional		$54.94	$92.64	$134.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $32.34 / $51.94	Professional		$22.68	$32.34	$51.94
United Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $94.34 / $161.72	Professional		$69.70	$94.34	$161.72