Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $74.22 / $124.41	Facility		$70.79	$74.22	$124.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.44 / $70.79 / $124.41	Professional		$67.44	$70.79	$124.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.66 / $60.10 / $101.02	Professional		$43.66	$60.10	$101.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.47 / $85.69 / $101.21	Facility		$67.47	$85.69	$101.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.47 / $84.34 / $107.95	Professional		$67.47	$84.34	$107.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $75.00 / $129.97	Facility		$63.00	$75.00	$129.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.27 / $93.41 / $167.71	Professional		$58.27	$93.41	$167.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $62.33	Professional		$32.34	$32.34	$62.33
United Facility/Professional Professional Modifier Low / Median / High Price $68.64 / $94.36 / $155.78	Professional		$68.64	$94.36	$155.78