Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.90 / $47.52 / $49.28	Facility		$31.90	$47.52	$49.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $47.52 / $49.38	Professional		$40.83	$47.52	$49.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.56 / $92.46 / $97.18	Facility		$57.56	$92.46	$97.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.23 / $48.09 / $48.09	Professional		$43.23	$48.09	$48.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $128.69 / $148.09	Facility		$69.34	$128.69	$148.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.84 / $114.91 / $152.56	Professional		$87.84	$114.91	$152.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.32 / $51.32 / $108.35	Facility		$51.32	$51.32	$108.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $51.32 / $440.98	Professional		$37.46	$51.32	$440.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.24 / $60.06 / $75.07	Professional		$49.24	$60.06	$75.07
United Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $44.44 / $73.97	Professional		$30.75	$44.44	$73.97