Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.41 / $71.29 / $73.93	Facility		$50.41	$71.29	$73.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $73.93 / $83.52	Professional		$61.24	$73.93	$83.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.34 / $138.69 / $145.77	Facility		$86.34	$138.69	$145.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $81.20 / $81.20	Professional		$64.87	$81.20	$81.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.03 / $195.57 / $248.78	Facility		$104.03	$195.57	$248.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $178.81 / $228.86	Professional		$132.16	$178.81	$228.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $86.66 / $180.62	Facility		$86.66	$86.66	$180.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $86.66 / $757.03	Professional		$63.26	$86.66	$757.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.47 / $88.39 / $110.48	Professional		$72.47	$88.39	$110.48
United Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $69.19 / $106.18	Professional		$46.13	$69.19	$106.18