Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.07 / $47.52 / $49.28	Facility		$22.07	$47.52	$49.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $47.52 / $49.38	Professional		$40.83	$47.52	$49.38
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 $43.23 / $44.84 / $48.09	Professional		$43.23	$44.84	$48.09
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 $57.03 / $57.03 / $108.35	Facility		$57.03	$57.03	$108.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $57.03 / $440.98	Professional		$41.63	$57.03	$440.98
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 / $60.95	Professional		$30.75	$44.40	$60.95