Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.23 / $49.23 / $72.77	Facility		$49.23	$49.23	$72.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.04 / $56.00 / $79.69	Professional		$47.04	$56.00	$79.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $100.94 / $101.50	Professional		$80.73	$100.94	$101.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $93.46 / $177.97	Facility		$10.39	$93.46	$177.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $107.86 / $172.58	Professional		$12.36	$107.86	$172.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $66.45 / $144.80	Facility		$66.45	$66.45	$144.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $68.45 / $118.87	Professional		$56.49	$68.45	$118.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $100.00 / $100.00	Professional		$72.09	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.13 / $63.94 / $101.49	Professional		$37.13	$63.94	$101.49