Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.54 / $67.54 / $99.84	Facility		$67.54	$67.54	$99.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.54 / $85.42 / $101.80	Professional		$67.54	$85.42	$101.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.32 / $128.47 / $129.10	Professional		$106.32	$128.47	$129.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $131.26 / $253.76	Facility		$16.00	$131.26	$253.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $146.13 / $245.02	Professional		$17.38	$146.13	$245.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $100.30 / $184.18	Facility		$100.30	$100.30	$184.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $100.30 / $151.19	Professional		$85.26	$100.30	$151.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.72 / $100.00 / $106.30	Professional		$79.72	$100.00	$106.30
United Facility/Professional Professional Modifier Low / Median / High Price $50.93 / $84.70 / $129.10	Professional		$50.93	$84.70	$129.10