Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.86 / $62.08 / $62.08	Facility		$59.86	$62.08	$62.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $59.86 / $68.34	Professional		$52.40	$59.86	$68.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.50 / $116.46 / $122.40	Facility		$72.50	$116.46	$122.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.47 / $56.49 / $62.92	Professional		$54.47	$56.49	$62.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.35 / $162.11 / $186.63	Facility		$87.35	$162.11	$186.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.64 / $144.74 / $192.16	Professional		$110.64	$144.74	$192.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $64.66 / $136.47	Facility		$64.66	$64.66	$136.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $75.00 / $109.92	Professional		$47.20	$75.00	$109.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.04 / $64.73 / $77.81	Professional		$51.04	$64.73	$77.81
United Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $55.93 / $76.78	Professional		$38.74	$55.93	$76.78