Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.52 / $49.28 / $99.66	Facility		$47.52	$49.28	$99.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $48.13 / $99.66	Professional		$42.37	$48.13	$99.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.56 / $92.46 / $97.18	Facility		$57.56	$92.46	$97.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.90 / $26.90 / $49.10	Professional		$26.90	$26.90	$49.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $128.69 / $148.09	Facility		$69.34	$128.69	$148.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.84 / $114.91 / $152.56	Professional		$87.84	$114.91	$152.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $120.00	Facility		$61.54	$61.54	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $61.54 / $342.72	Professional		$44.92	$61.54	$342.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.86 / $53.92 / $66.86	Professional		$43.86	$53.92	$66.86
United Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $44.40 / $68.30	Professional		$30.75	$44.40	$68.30