Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $66.07 / $81.28	Professional		$40.74	$66.07	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $56.23	Professional		$25.12	$33.11	$56.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $77.62 / $97.72	Facility		$57.54	$77.62	$97.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $112.20	Professional		$67.61	$95.50	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $123.03 / $123.03	Facility		$30.90	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $56.23 / $371.54	Professional		$28.84	$56.23	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $32.36 / $33.11	Professional		$12.30	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $51.29 / $102.33	Professional		$22.39	$51.29	$102.33