Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.38 / $71.23 / $73.88	Facility		$50.38	$71.23	$73.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.20 / $72.91 / $79.62	Professional		$61.20	$72.91	$79.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.28 / $138.60 / $145.66	Facility		$86.28	$138.60	$145.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $81.16 / $84.28	Professional		$64.81	$81.16	$84.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.95 / $194.04 / $265.70	Facility		$103.95	$194.04	$265.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.60 / $173.25 / $228.69	Professional		$138.60	$173.25	$228.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $89.65 / $181.19	Facility		$89.65	$89.65	$181.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $89.65 / $759.44	Professional		$65.44	$89.65	$759.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.43 / $88.33 / $110.41	Professional		$72.43	$88.33	$110.41
United Facility/Professional Professional Modifier Low / Median / High Price $46.10 / $69.14 / $92.60	Professional		$46.10	$69.14	$92.60