Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.14 / $69.48 / $72.06	Facility		$49.14	$69.48	$72.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.70 / $77.63 / $89.55	Professional		$59.70	$77.63	$89.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.16 / $135.19 / $142.10	Facility		$84.16	$135.19	$142.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $79.17 / $82.80	Professional		$65.06	$79.17	$82.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.40 / $190.63 / $265.98	Facility		$101.40	$190.63	$265.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $182.52 / $233.42	Professional		$135.19	$182.52	$233.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.36 / $112.36 / $172.39	Facility		$112.36	$112.36	$172.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $112.36 / $722.52	Professional		$82.02	$112.36	$722.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.65 / $86.17 / $107.71	Professional		$70.65	$86.17	$107.71
United Facility/Professional Professional Modifier Low / Median / High Price $44.96 / $67.45 / $106.51	Professional		$44.96	$67.45	$106.51