Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.40 / $57.51 / $97.77	Facility		$53.40	$57.51	$97.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $64.61	Professional		$57.51	$57.51	$64.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.09 / $67.81 / $67.86	Facility		$65.09	$67.81	$67.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.75 / $57.51 / $57.51	Professional		$51.75	$57.51	$57.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.51 / $69.01 / $92.02	Facility		$57.51	$69.01	$92.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $63.26 / $88.57	Professional		$57.51	$63.26	$88.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.51 / $85.00 / $85.00	Facility		$57.51	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $57.51 / $72.76	Professional		$13.53	$57.51	$72.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.04 / $53.40 / $65.05	Professional		$50.04	$53.40	$65.05
United Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $61.01	Professional		$57.51	$57.51	$61.01