Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.70 / $39.17 / $40.61	Facility		$27.70	$39.17	$40.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $40.61 / $47.76	Professional		$33.65	$40.61	$47.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.44 / $76.20 / $80.09	Facility		$47.44	$76.20	$80.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.64 / $44.69 / $45.68	Professional		$35.64	$44.69	$45.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.16 / $107.46 / $142.27	Facility		$57.16	$107.46	$142.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.58 / $102.26 / $125.75	Professional		$75.58	$102.26	$125.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $54.54 / $102.27	Facility		$54.54	$54.54	$102.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.54 / $428.64	Professional		$39.81	$54.54	$428.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $48.57 / $60.71	Professional		$39.82	$48.57	$60.71
United Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $38.02 / $58.25	Professional		$25.35	$38.02	$58.25