Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $57.33 / $59.46	Facility		$30.98	$57.33	$59.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.39 / $57.33 / $61.03	Professional		$47.39	$57.33	$61.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.43 / $111.54 / $117.23	Facility		$69.43	$111.54	$117.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $49.91 / $55.43	Professional		$49.91	$49.91	$55.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.66 / $150.58 / $181.82	Facility		$83.66	$150.58	$181.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.87 / $139.43 / $184.04	Professional		$100.87	$139.43	$184.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.02 / $71.02 / $130.72	Facility		$71.02	$71.02	$130.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $71.02 / $471.30	Professional		$51.84	$71.02	$471.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.27 / $71.06 / $88.83	Professional		$58.27	$71.06	$88.83
United Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $50.28 / $73.53	Professional		$35.22	$50.28	$73.53