Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.53 / $45.12 / $76.65	Facility		$30.53	$45.12	$76.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.84 / $37.29 / $49.46	Professional		$33.84	$37.29	$49.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $66.48 / $66.48	Facility		$66.48	$66.48	$66.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $29.04 / $66.48	Professional		$29.04	$29.04	$66.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.18 / $92.11 / $109.69	Facility		$53.18	$92.11	$109.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $79.78 / $109.69	Professional		$66.48	$79.78	$109.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.23 / $44.23 / $156.00	Facility		$44.23	$44.23	$156.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $44.23 / $144.90	Professional		$37.60	$44.23	$144.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.72 / $69.70	Professional		$22.91	$38.72	$69.70