Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $75.64 / $78.44	Facility		$47.53	$75.64	$78.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $75.64 / $78.62	Professional		$64.98	$75.64	$78.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.61 / $147.16 / $154.66	Facility		$91.61	$147.16	$154.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $76.56 / $79.13	Professional		$68.81	$76.56	$79.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.37 / $204.92 / $235.67	Facility		$110.37	$204.92	$235.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $139.80 / $182.96 / $242.81	Professional		$139.80	$182.96	$242.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $81.70 / $172.45	Facility		$81.70	$81.70	$172.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $81.70 / $701.94	Professional		$59.64	$81.70	$701.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.89 / $93.78 / $117.22	Professional		$76.89	$93.78	$117.22
United Facility/Professional Professional Modifier Low / Median / High Price $48.95 / $70.67 / $97.02	Professional		$48.95	$70.67	$97.02