Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.37 / $52.09 / $75.00	Facility		$45.37	$52.09	$75.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.37 / $59.53 / $78.91	Professional		$45.37	$59.53	$78.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.78 / $150.00 / $150.00	Professional		$81.78	$150.00	$150.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.94 / $166.64 / $196.40	Facility		$119.94	$166.64	$196.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $137.07 / $196.40	Professional		$98.52	$137.07	$196.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.59 / $112.59 / $112.59	Facility		$112.59	$112.59	$112.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $47.79 / $98.40	Professional		$47.79	$47.79	$98.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $97.93 / $154.74	Professional		$94.17	$97.93	$154.74
United Facility/Professional Professional Modifier Low / Median / High Price $39.58 / $59.28 / $76.03	Professional		$39.58	$59.28	$76.03