Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.52 / $92.12 / $191.24	Facility		$59.52	$92.12	$191.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $66.76 / $110.24	Professional		$58.45	$66.76	$110.24
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $57.12 / $57.12 / $57.12	Professional	CQ	$57.12	$57.12	$57.12
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 / $78.94	Professional		$49.56	$61.26	$78.94
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 / $105.95 / $133.59	Professional		$92.13	$105.95	$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 $63.06 / $75.45 / $100.20	Professional		$63.06	$75.45	$100.20