Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $61.66	Facility		$58.88	$58.88	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $100.00	Professional		$52.48	$69.18	$100.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $117.49 / $123.03	Facility		$104.71	$117.49	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $69.18	Professional		$53.70	$67.61	$69.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $154.88 / $199.53	Facility		$87.10	$154.88	$199.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $181.97	Professional		$114.82	$144.54	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $213.80 / $213.80	Facility		$91.20	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $630.96	Professional		$67.61	$107.15	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $97.72	Professional		$60.26	$77.62	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $61.66 / $67.61	Facility		$54.95	$61.66	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $57.54 / $91.20	Professional		$38.02	$57.54	$91.20