Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $53.07 / $55.04	Facility		$16.89	$53.07	$55.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $53.07 / $55.15	Professional		$45.59	$53.07	$55.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.28 / $103.26 / $108.53	Facility		$64.28	$103.26	$108.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.29 / $53.72 / $55.89	Professional		$48.29	$53.72	$55.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.45 / $143.77 / $165.41	Facility		$77.45	$143.77	$165.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.10 / $128.36 / $170.38	Professional		$98.10	$128.36	$170.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.65 / $69.65 / $121.01	Facility		$69.65	$69.65	$121.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $69.65 / $492.51	Professional		$50.84	$69.65	$492.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $67.06 / $83.82	Professional		$54.98	$67.06	$83.82
United Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $49.58 / $82.61	Professional		$34.34	$49.58	$82.61