Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.59 / $59.59 / $88.09	Facility		$59.59	$59.59	$88.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.59 / $77.09 / $90.81	Professional		$59.59	$77.09	$90.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.92 / $111.00 / $111.61	Professional		$91.92	$111.00	$111.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.44 / $108.29 / $220.80	Facility		$14.44	$108.29	$220.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $126.89 / $208.02	Professional		$15.05	$126.89	$208.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.16 / $88.16 / $159.25	Facility		$88.16	$88.16	$159.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $88.16 / $130.72	Professional		$74.94	$88.16	$130.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.50 / $104.27 / $109.48	Professional		$85.50	$104.27	$109.48
United Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $78.79 / $111.61	Professional		$44.93	$78.79	$111.61