Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $64.69 / $67.08	Facility		$35.40	$64.69	$67.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.90 / $64.69 / $69.73	Professional		$46.90	$64.69	$69.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.34 / $125.85 / $132.27	Facility		$78.34	$125.85	$132.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.72 / $57.72 / $63.34	Professional		$57.72	$57.72	$63.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.39 / $155.81 / $207.74	Facility		$94.39	$155.81	$207.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.18 / $157.31 / $207.65	Professional		$115.18	$157.31	$207.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.99 / $83.99 / $147.47	Facility		$83.99	$83.99	$147.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $83.99 / $544.52	Professional		$61.31	$83.99	$544.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.76 / $80.20 / $100.25	Professional		$65.76	$80.20	$100.25
United Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $59.89 / $99.58	Professional		$41.86	$59.89	$99.58