Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.88	Facility		$33.11	$33.11	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $54.95	Professional		$26.92	$33.11	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $66.07 / $69.18	Facility		$58.88	$66.07	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.88 / $34.67	Professional		$30.20	$33.88	$34.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $87.10 / $112.20	Facility		$48.98	$87.10	$112.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $104.71	Professional		$64.57	$81.28	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $102.33 / $102.33	Facility		$38.02	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $54.95 / $309.03	Professional		$28.18	$54.95	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.65 / $56.23	Professional		$34.67	$43.65	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $30.90 / $35.48	Facility		$28.18	$30.90	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.90 / $43.65	Professional		$21.38	$30.90	$43.65