Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.60 / $48.77 / $193.41	Facility		$37.60	$48.77	$193.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $49.72 / $156.03	Professional		$39.69	$49.72	$156.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.58 / $93.61 / $163.21	Professional		$40.58	$93.61	$163.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.06 / $47.85 / $55.20	Facility		$35.06	$47.85	$55.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.85 / $68.36	Professional		$37.15	$47.85	$68.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.20 / $42.20 / $42.20	Facility		$42.20	$42.20	$42.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.82 / $162.10 / $265.11	Professional		$60.82	$162.10	$265.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.27 / $175.24 / $222.68	Professional		$121.27	$175.24	$222.68