Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.48 / $73.48 / $108.62	Facility		$73.48	$73.48	$108.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $99.16 / $108.62	Professional		$73.48	$99.16	$108.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $127.42 / $133.37	Professional		$105.52	$127.42	$133.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $133.86 / $263.20	Facility		$17.30	$133.86	$263.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $154.29 / $258.80	Professional		$17.64	$154.29	$258.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.50 / $111.50 / $192.19	Facility		$111.50	$111.50	$192.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $111.50 / $150.06	Professional		$94.78	$111.50	$150.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.30 / $108.41 / $138.82	Professional		$81.30	$108.41	$138.82
United Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $90.44 / $133.71	Professional		$55.39	$90.44	$133.71