Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.45 / $53.07 / $55.04	Facility		$18.45	$53.07	$55.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $53.07 / $55.15	Professional		$45.59	$53.07	$55.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.28 / $103.26 / $108.53	Facility		$64.28	$103.26	$108.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.29 / $53.72 / $53.72	Professional		$48.29	$53.72	$53.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.45 / $143.77 / $165.41	Facility		$77.45	$143.77	$165.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.10 / $128.36 / $170.38	Professional		$98.10	$128.36	$170.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $57.32 / $121.01	Facility		$57.32	$57.32	$121.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $57.32 / $492.51	Professional		$41.84	$57.32	$492.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $60.21 / $74.66	Professional		$48.97	$60.21	$74.66
United Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $50.44 / $65.95	Professional		$34.34	$50.44	$65.95