Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $77.62 / $83.18	Facility		$63.10	$77.62	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $100.00	Professional		$64.57	$75.86	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $56.23 / $77.62	Professional		$15.49	$56.23	$77.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $75.86 / $102.33	Facility		$63.10	$75.86	$102.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $102.33	Professional		$57.54	$75.86	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $363.08	Professional		$64.57	$97.72	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $51.29 / $67.61	Professional		$44.67	$51.29	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $141.25	Professional		$63.10	$85.11	$141.25