Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.07 / $73.52 / $76.23	Facility		$51.07	$73.52	$76.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.16 / $84.41 / $100.61	Professional		$63.16	$84.41	$100.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.04 / $143.04 / $150.34	Facility		$89.04	$143.04	$150.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $82.27 / $91.38	Professional		$69.92	$82.27	$91.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.28 / $201.69 / $306.70	Facility		$107.28	$201.69	$306.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.04 / $193.10 / $262.23	Professional		$143.04	$193.10	$262.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $89.11 / $186.10	Facility		$89.11	$89.11	$186.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $89.11 / $780.02	Professional		$65.05	$89.11	$780.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.74 / $91.15 / $113.93	Professional		$74.74	$91.15	$113.93
United Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $71.36 / $114.43	Professional		$47.57	$71.36	$114.43