Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.54 / $82.16 / $85.20	Facility		$49.54	$82.16	$85.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.92 / $82.16 / $85.20	Professional		$71.92	$82.16	$85.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.51 / $159.86 / $168.01	Facility		$99.51	$159.86	$168.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $76.39 / $82.10	Professional		$74.76	$76.39	$82.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.90 / $219.20 / $284.25	Facility		$119.90	$219.20	$284.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.87 / $195.71 / $263.77	Professional		$151.87	$195.71	$263.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.16 / $85.16 / $187.33	Facility		$85.16	$85.16	$187.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $85.16 / $282.10	Professional		$62.17	$85.16	$282.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.53 / $101.87 / $127.33	Professional		$83.53	$101.87	$127.33
United Facility/Professional Professional Modifier Low / Median / High Price $52.39 / $73.65 / $105.38	Professional		$52.39	$73.65	$105.38