Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.97 / $62.55 / $64.86	Facility		$38.97	$62.55	$64.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.74 / $62.55 / $65.02	Professional		$53.74	$62.55	$65.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.75 / $121.69 / $127.90	Facility		$75.75	$121.69	$127.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.92 / $63.33 / $64.14	Professional		$56.92	$63.33	$64.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.27 / $169.48 / $194.95	Facility		$91.27	$169.48	$194.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $151.33 / $200.79	Professional		$115.61	$151.33	$200.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $67.56 / $142.61	Facility		$67.56	$67.56	$142.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $67.56 / $580.57	Professional		$49.33	$67.56	$580.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $79.08 / $98.85	Professional		$64.84	$79.08	$98.85
United Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $59.46 / $96.30	Professional		$40.47	$59.46	$96.30