Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.80 / $56.65 / $58.74	Facility		$31.80	$56.65	$58.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $56.65 / $58.86	Professional		$47.00	$56.65	$58.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.61 / $110.21 / $115.83	Facility		$68.61	$110.21	$115.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.22 / $51.22 / $53.46	Professional		$51.22	$51.22	$53.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.66 / $148.78 / $175.33	Facility		$82.66	$148.78	$175.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $136.97 / $181.85	Professional		$103.66	$136.97	$181.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.81 / $62.81 / $129.16	Facility		$62.81	$62.81	$129.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $62.81 / $482.00	Professional		$45.85	$62.81	$482.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $70.25 / $87.81	Professional		$57.60	$70.25	$87.81
United Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $49.69 / $72.66	Professional		$33.63	$49.69	$72.66