Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.55 / $53.55 / $79.17	Facility		$53.55	$53.55	$79.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.22 / $66.23 / $79.17	Professional		$51.22	$66.23	$79.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.60 / $97.53 / $97.53	Professional		$59.60	$97.53	$97.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.40 / $95.75 / $195.01	Facility		$12.40	$95.75	$195.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $112.02 / $188.67	Professional		$13.20	$112.02	$188.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.15 / $78.15 / $137.83	Facility		$78.15	$78.15	$137.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $78.15 / $124.32	Professional		$66.43	$78.15	$124.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $94.57 / $99.29	Professional		$77.54	$94.57	$99.29
United Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $62.58 / $84.52	Professional		$40.38	$62.58	$84.52