Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.78 / $62.58 / $64.89	Facility		$52.78	$62.58	$64.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.01 / $59.99 / $79.86	Professional		$52.01	$59.99	$79.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.19 / $106.33 / $111.75	Facility		$66.19	$106.33	$111.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $84.10 / $84.10	Professional		$75.59	$84.10	$84.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.75 / $143.55 / $175.44	Facility		$79.75	$143.55	$175.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $127.60 / $175.44	Professional		$90.38	$127.60	$175.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.68 / $76.68 / $133.83	Facility		$76.68	$76.68	$133.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $76.68 / $483.06	Professional		$55.98	$76.68	$483.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.49 / $100.00 / $112.80	Professional		$92.49	$100.00	$112.80
United Facility/Professional Facility Modifier Low / Median / High Price $60.73 / $71.01 / $83.59	Facility		$60.73	$71.01	$83.59
United Facility/Professional Professional Modifier Low / Median / High Price $50.68 / $77.62 / $102.67	Professional		$50.68	$77.62	$102.67