Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $85.11	Facility		$57.54	$57.54	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $93.33	Professional		$57.54	$81.28	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $107.15	Professional		$87.10	$107.15	$107.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $95.50 / $165.96	Facility		$11.48	$95.50	$165.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $128.82 / $204.17	Professional		$15.14	$128.82	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $131.83 / $208.93	Facility		$31.62	$131.83	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $138.04	Professional		$38.02	$44.67	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $107.15	Professional		$85.11	$102.33	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $56.23 / $79.43	Facility		$6.46	$56.23	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $69.18 / $93.33	Professional		$43.65	$69.18	$93.33