Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.28 / $49.28 / $72.86	Facility		$49.28	$49.28	$72.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $67.58 / $72.98	Professional		$49.28	$67.58	$72.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.22 / $96.18 / $96.18	Professional		$67.22	$96.18	$96.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.94 / $84.27 / $168.87	Facility		$10.94	$84.27	$168.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $101.12 / $163.04	Professional		$12.03	$101.12	$163.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.04 / $73.04 / $130.91	Facility		$73.04	$73.04	$130.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $73.04 / $113.26	Professional		$62.08	$73.04	$113.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.38 / $79.73 / $83.72	Professional		$65.38	$79.73	$83.72
United Facility/Professional Facility Modifier Low / Median / High Price $6.10 / $45.30 / $65.18	Facility		$6.10	$45.30	$65.18
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $55.72 / $89.53	Professional		$37.15	$55.72	$89.53