Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.73 / $57.26 / $59.38	Facility		$31.73	$57.26	$59.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $52.28 / $59.38	Professional		$47.53	$52.28	$59.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $111.41 / $117.09	Facility		$69.34	$111.41	$117.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $51.11 / $52.51	Professional		$48.73	$51.11	$52.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.56 / $146.75 / $167.00	Facility		$83.56	$146.75	$167.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.26 / $133.69 / $183.83	Professional		$103.26	$133.69	$183.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $130.56	Facility		$64.62	$64.62	$130.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $64.62 / $476.99	Professional		$47.17	$64.62	$476.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.19 / $70.97 / $88.71	Professional		$58.19	$70.97	$88.71
United Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $50.17 / $72.58	Professional		$33.56	$50.17	$72.58