Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $67.61	Facility		$64.57	$64.57	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $107.15	Professional		$53.70	$64.57	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $131.83 / $138.04	Facility		$117.49	$131.83	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $61.66 / $66.07	Professional		$60.26	$61.66	$66.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $173.78 / $223.87	Facility		$95.50	$173.78	$223.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $204.17	Professional		$128.82	$158.49	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $204.17 / $204.17	Facility		$70.79	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $100.00 / $616.60	Professional		$51.29	$100.00	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $100.00	Professional		$60.26	$77.62	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $61.66 / $70.79	Facility		$56.23	$61.66	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $81.28	Professional		$42.66	$58.88	$81.28