Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.15 / $67.65 / $70.16	Facility		$42.15	$67.65	$70.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.78 / $62.95 / $70.16	Professional		$55.78	$62.95	$70.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.93 / $131.62 / $138.33	Facility		$81.93	$131.62	$138.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.17 / $67.89 / $70.61	Professional		$57.17	$67.89	$70.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.72 / $177.69 / $224.52	Facility		$98.72	$177.69	$224.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.04 / $157.94 / $217.17	Professional		$125.04	$157.94	$217.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $75.81 / $154.25	Facility		$75.81	$75.81	$154.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $75.81 / $626.60	Professional		$55.35	$75.81	$626.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.78 / $83.88 / $104.85	Professional		$68.78	$83.88	$104.85
United Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $88.00 / $88.00	Facility		$88.00	$88.00	$88.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $62.48 / $105.30	Professional		$43.78	$62.48	$105.30