Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $56.23 / $85.11	Professional		$48.98	$56.23	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $77.62	Professional		$52.48	$61.66	$77.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $67.61 / $93.33	Facility		$50.12	$67.61	$93.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $95.50	Professional		$50.12	$67.61	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $295.12	Professional		$57.54	$83.18	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $40.74 / $54.95	Professional		$39.81	$40.74	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $112.20	Professional		$57.54	$72.44	$112.20