Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $57.82 / $59.96	Facility		$40.86	$57.82	$59.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.67 / $57.82 / $60.08	Professional		$49.67	$57.82	$60.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.03 / $112.49 / $118.23	Facility		$70.03	$112.49	$118.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $58.52 / $59.20	Professional		$52.61	$58.52	$59.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.37 / $156.59 / $180.13	Facility		$84.37	$156.59	$180.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.87 / $139.81 / $185.61	Professional		$106.87	$139.81	$185.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $131.82	Facility		$66.72	$66.72	$131.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $66.72 / $536.51	Professional		$48.71	$66.72	$536.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.35 / $65.59 / $81.33	Professional		$53.35	$65.59	$81.33
United Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $55.35 / $76.29	Professional		$37.40	$55.35	$76.29