Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.16 / $62.38 / $62.38	Facility		$60.16	$62.38	$62.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $60.16 / $62.87	Professional		$52.66	$60.16	$62.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.86 / $117.04 / $123.01	Facility		$72.86	$117.04	$123.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.25 / $61.67 / $63.03	Professional		$46.25	$61.67	$63.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.78 / $163.86 / $193.12	Facility		$87.78	$163.86	$193.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.04 / $146.30 / $193.12	Professional		$117.04	$146.30	$193.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $75.70 / $137.16	Facility		$75.70	$75.70	$137.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $65.00 / $564.13	Professional		$55.27	$65.00	$564.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.71 / $70.38 / $87.97	Professional		$57.71	$70.38	$87.97
United Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $57.17 / $92.60	Professional		$38.93	$57.17	$92.60