Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $70.79	Facility		$67.61	$67.61	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $112.20	Professional		$56.23	$64.57	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $134.90 / $141.25	Facility		$120.23	$134.90	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $70.79	Professional		$57.54	$67.61	$70.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $177.83 / $229.09	Facility		$97.72	$177.83	$229.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $208.93	Professional		$131.83	$165.96	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $208.93 / $208.93	Facility		$75.86	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $112.20 / $630.96	Professional		$54.95	$112.20	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $112.20	Professional		$69.18	$87.10	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $66.07 / $77.62	Facility		$57.54	$66.07	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $89.13	Professional		$38.90	$58.88	$89.13