Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $45.71	Facility		$43.65	$43.65	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $75.86	Professional		$38.02	$52.48	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $89.13 / $93.33	Facility		$79.43	$89.13	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $50.12 / $56.23	Professional		$40.74	$50.12	$56.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $117.49 / $151.36	Facility		$64.57	$117.49	$151.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $138.04	Professional		$87.10	$107.15	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $154.88 / $154.88	Facility		$53.70	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $81.28 / $467.74	Professional		$39.81	$81.28	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $57.54 / $74.13	Professional		$44.67	$57.54	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $48.98 / $57.54	Facility		$42.66	$48.98	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $67.61	Professional		$28.84	$42.66	$67.61