Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $52.48	Facility		$51.29	$51.29	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $57.54 / $87.10	Professional		$43.65	$57.54	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $102.33 / $107.15	Facility		$91.20	$102.33	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $58.88	Professional		$46.77	$54.95	$58.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $134.90 / $173.78	Facility		$74.13	$134.90	$173.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $158.49	Professional		$100.00	$125.89	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $169.82 / $169.82	Facility		$72.44	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $87.10 / $512.86	Professional		$52.48	$87.10	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $85.11	Professional		$52.48	$66.07	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $52.48 / $60.26	Facility		$46.77	$52.48	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $77.62	Professional		$33.11	$50.12	$77.62