Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.83 / $63.39 / $65.73	Facility		$44.83	$63.39	$65.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.46 / $63.39 / $72.78	Professional		$54.46	$63.39	$72.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.77 / $123.32 / $129.61	Facility		$76.77	$123.32	$129.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $72.22 / $74.53	Professional		$57.68	$72.22	$74.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.49 / $172.65 / $208.49	Facility		$92.49	$172.65	$208.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.32 / $154.15 / $203.48	Professional		$123.32	$154.15	$203.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.77 / $79.77 / $159.10	Facility		$79.77	$79.77	$159.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $79.77 / $666.85	Professional		$58.23	$79.77	$666.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.44 / $78.59 / $98.23	Professional		$64.44	$78.59	$98.23
United Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $61.52 / $82.40	Professional		$41.02	$61.52	$82.40