Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.34 / $61.34 / $90.68	Facility		$61.34	$61.34	$90.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.34 / $68.01 / $90.68	Professional		$61.34	$68.01	$90.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.35 / $69.95 / $79.34	Professional		$53.35	$69.95	$79.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.03 / $108.83 / $191.85	Facility		$14.03	$108.83	$191.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $126.07 / $203.15	Professional		$14.03	$126.07	$203.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $164.18	Facility		$62.10	$62.10	$164.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $62.10 / $131.04	Professional		$52.79	$62.10	$131.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $10.09 / $100.74	Professional		$7.88	$10.09	$100.74
United Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $63.11 / $88.92	Professional		$42.98	$63.11	$88.92