Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $114.82 / $165.96	Facility		$72.44	$114.82	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $72.44 / $128.82	Professional		$64.57	$72.44	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $60.26 / $114.82	Professional		$43.65	$60.26	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $77.62 / $107.15	Facility		$67.61	$77.62	$107.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $107.15	Professional		$66.07	$81.28	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $128.82 / $128.82	Facility		$63.10	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $575.44	Professional		$61.66	$107.15	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $48.98	Professional		$32.36	$33.11	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $83.18 / $141.25	Professional		$46.77	$83.18	$141.25