Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $52.47 / $89.20	Facility		$52.04	$52.47	$89.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $62.97	Professional		$52.47	$52.47	$62.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $61.88 / $104.94	Facility		$59.40	$61.88	$104.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.35 / $52.47 / $52.47	Professional		$39.35	$52.47	$52.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.47 / $62.96 / $83.95	Facility		$52.47	$62.96	$83.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $57.72 / $80.80	Professional		$52.47	$57.72	$80.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.47 / $85.00 / $85.00	Facility		$52.47	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $52.47 / $70.90	Professional		$52.04	$52.47	$70.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.92 / $52.47 / $66.20	Professional		$50.92	$52.47	$66.20
United Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $55.62 / $58.41	Professional		$52.47	$55.62	$58.41