Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $38.79 / $40.22	Facility		$15.35	$38.79	$40.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $38.79 / $40.32	Professional		$33.33	$38.79	$40.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.99 / $75.48 / $79.33	Facility		$46.99	$75.48	$79.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $36.61 / $39.27	Professional		$35.29	$36.61	$39.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.61 / $105.10 / $120.90	Facility		$56.61	$105.10	$120.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $93.84 / $124.54	Professional		$71.70	$93.84	$124.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.91 / $88.45	Facility		$41.91	$41.91	$88.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $41.91 / $360.05	Professional		$30.59	$41.91	$360.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $44.02 / $54.60	Professional		$35.81	$44.02	$54.60
United Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $36.25 / $60.38	Professional		$25.10	$36.25	$60.38