Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.73 / $66.73 / $66.73	Facility		$66.73	$66.73	$66.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $66.79 / $72.63	Professional		$34.86	$66.79	$72.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $28.60 / $68.45	Professional		$23.90	$28.60	$68.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.44 / $83.93 / $101.95	Facility		$69.44	$83.93	$101.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $95.33 / $153.19	Professional		$74.90	$95.33	$153.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.27 / $89.27 / $89.27	Facility		$89.27	$89.27	$89.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.39 / $45.56 / $95.35	Professional		$26.39	$45.56	$95.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $32.34 / $32.34	Professional		$16.48	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $49.80 / $104.44	Professional		$24.40	$49.80	$104.44