Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $48.39 / $50.19	Facility		$34.22	$48.39	$50.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.58 / $48.39 / $52.37	Professional		$41.58	$48.39	$52.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.61 / $94.16 / $98.96	Facility		$58.61	$94.16	$98.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $55.15 / $57.19	Professional		$44.04	$55.15	$57.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.62 / $131.82 / $155.36	Facility		$70.62	$131.82	$155.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $117.70 / $155.36	Professional		$94.16	$117.70	$155.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.84 / $58.84 / $117.17	Facility		$58.84	$58.84	$117.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $58.84 / $491.11	Professional		$42.95	$58.84	$491.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $60.02 / $75.02	Professional		$49.21	$60.02	$75.02
United Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $46.98 / $62.92	Professional		$31.32	$46.98	$62.92