Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.81 / $66.18 / $68.63	Facility		$46.81	$66.18	$68.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.85 / $67.73 / $74.90	Professional		$56.85	$67.73	$74.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.15 / $128.76 / $135.33	Facility		$80.15	$128.76	$135.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.22 / $75.40 / $78.30	Professional		$60.22	$75.40	$78.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.57 / $180.26 / $249.96	Facility		$96.57	$180.26	$249.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.76 / $160.94 / $212.45	Professional		$128.76	$160.94	$212.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $80.45 / $165.98	Facility		$80.45	$80.45	$165.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $80.45 / $695.67	Professional		$58.73	$80.45	$695.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.28 / $82.06 / $102.57	Professional		$67.28	$82.06	$102.57
United Facility/Professional Professional Modifier Low / Median / High Price $42.82 / $64.23 / $98.52	Professional		$42.82	$64.23	$98.52