Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.76 / $93.39 / $219.80	Facility		$66.76	$93.39	$219.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $66.76 / $201.81	Professional		$58.45	$66.76	$201.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.33 / $81.47 / $133.06	Facility		$73.33	$81.47	$133.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.56 / $61.26 / $78.95	Professional		$49.56	$61.26	$78.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.13 / $105.95 / $131.43	Facility		$92.13	$105.95	$131.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.13 / $107.74 / $133.59	Professional		$92.13	$107.74	$133.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $75.00 / $113.06	Facility		$45.00	$75.00	$113.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.53 / $88.29 / $145.63	Professional		$56.53	$88.29	$145.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $63.47	Professional		$32.34	$32.34	$63.47
United Facility/Professional Professional Modifier Low / Median / High Price $64.30 / $76.03 / $101.80	Professional		$64.30	$76.03	$101.80