Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.75 / $82.75 / $132.86	Facility		$82.75	$82.75	$132.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $84.36 / $163.84	Professional		$78.26	$84.36	$163.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $90.72 / $111.09	Professional		$77.75	$90.72	$111.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.95 / $105.52 / $125.31	Facility		$65.95	$105.52	$125.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $106.13 / $155.18	Professional		$75.84	$106.13	$155.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.46 / $95.46 / $95.46	Facility		$95.46	$95.46	$95.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.55 / $107.87 / $171.37	Professional		$79.55	$107.87	$171.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $100.87	Professional		$32.34	$32.34	$100.87
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $101.88 / $167.56	Professional		$78.93	$101.88	$167.56