Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.08 / $65.08 / $96.21	Facility		$65.08	$65.08	$96.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $77.09 / $96.21	Professional		$54.34	$77.09	$96.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.55 / $116.60 / $117.24	Professional		$96.55	$116.60	$117.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.44 / $124.57 / $237.96	Facility		$14.44	$124.57	$237.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $141.19 / $235.32	Professional		$15.80	$141.19	$235.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.65 / $94.65 / $168.02	Facility		$94.65	$94.65	$168.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $94.65 / $137.31	Professional		$80.45	$94.65	$137.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $102.09	Professional		$100.00	$100.00	$102.09
United Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $86.81 / $117.24	Professional		$49.06	$86.81	$117.24