Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $50.68 / $52.56	Facility		$25.00	$50.68	$52.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $50.68 / $52.68	Professional		$43.54	$50.68	$52.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.38 / $98.61 / $103.64	Facility		$61.38	$98.61	$103.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.12 / $51.31 / $52.65	Professional		$46.12	$51.31	$52.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.95 / $137.33 / $157.94	Facility		$73.95	$137.33	$157.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.68 / $122.61 / $162.71	Professional		$93.68	$122.61	$162.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $70.48 / $115.56	Facility		$70.48	$70.48	$115.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $70.48 / $470.38	Professional		$51.45	$70.48	$470.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $57.51 / $69.36	Professional		$45.50	$57.51	$69.36
United Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $47.35 / $65.02	Professional		$32.79	$47.35	$65.02