Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $48.00 / $81.55	Facility		$47.97	$48.00	$81.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $58.08	Professional		$47.97	$47.97	$58.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.31 / $56.58 / $95.94	Facility		$54.31	$56.58	$95.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $48.58	Professional		$47.97	$47.97	$48.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $57.56 / $76.75	Facility		$47.97	$57.56	$76.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $52.77 / $73.87	Professional		$47.97	$52.77	$73.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $48.58 / $48.58	Facility		$47.97	$48.58	$48.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $65.40	Professional		$47.97	$47.97	$65.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $48.23 / $62.70	Professional		$48.00	$48.23	$62.70
United Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $49.41	Professional		$47.97	$47.97	$49.41