Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.25 / $75.16 / $83.21	Facility		$44.25	$75.16	$83.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $67.51 / $75.16	Professional		$44.25	$67.51	$75.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.78 / $141.02 / $148.21	Facility		$87.78	$141.02	$148.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $71.30 / $74.05	Professional		$62.92	$71.30	$74.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.77 / $190.38 / $222.88	Facility		$105.77	$190.38	$222.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $169.22 / $232.68	Professional		$133.97	$169.22	$232.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $77.09 / $165.25	Facility		$77.09	$77.09	$165.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $77.09 / $247.65	Professional		$56.28	$77.09	$247.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $89.88 / $112.35	Professional		$73.70	$89.88	$112.35
United Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $63.77 / $92.94	Professional		$46.80	$63.77	$92.94