Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $32.36	Facility		$30.90	$30.90	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $52.48	Professional		$25.70	$30.90	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $63.10 / $66.07	Facility		$56.23	$63.10	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.20 / $32.36	Professional		$28.84	$30.20	$32.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $83.18 / $107.15	Facility		$45.71	$83.18	$107.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $97.72	Professional		$61.66	$77.62	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $97.72 / $97.72	Facility		$36.31	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $52.48 / $295.12	Professional		$26.92	$52.48	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $47.86	Professional		$29.51	$37.15	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $29.51 / $33.88	Facility		$26.92	$29.51	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $29.51 / $41.69	Professional		$20.42	$29.51	$41.69