Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.47 / $56.54 / $58.64	Facility		$38.47	$56.54	$58.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $56.54 / $58.86	Professional		$48.58	$56.54	$58.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $110.01 / $115.62	Facility		$68.48	$110.01	$115.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $61.98 / $64.12	Professional		$51.46	$61.98	$64.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.51 / $148.51 / $174.64	Facility		$82.51	$148.51	$174.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.51 / $132.30 / $181.52	Professional		$104.51	$132.30	$181.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $68.45 / $146.13	Facility		$68.45	$68.45	$146.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $68.45 / $612.48	Professional		$49.98	$68.45	$612.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.49 / $70.11 / $87.63	Professional		$57.49	$70.11	$87.63
United Facility/Professional Professional Modifier Low / Median / High Price $36.59 / $52.80 / $72.53	Professional		$36.59	$52.80	$72.53