Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $51.04 / $52.93	Facility		$35.33	$51.04	$52.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $52.93 / $57.56	Professional		$43.85	$52.93	$57.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.81 / $99.30 / $104.36	Facility		$61.81	$99.30	$104.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.44 / $56.91 / $58.90	Professional		$46.44	$56.91	$58.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.48 / $140.01 / $192.09	Facility		$74.48	$140.01	$192.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.34 / $124.13 / $163.85	Professional		$94.34	$124.13	$163.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.27 / $73.27 / $125.48	Facility		$73.27	$73.27	$125.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $73.27 / $525.91	Professional		$53.49	$73.27	$525.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $63.28 / $79.09	Professional		$51.88	$63.28	$79.09
United Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $49.09 / $67.23	Professional		$33.02	$49.09	$67.23