Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $59.86 / $62.08	Facility		$56.69	$59.86	$62.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $59.86 / $68.73	Professional		$52.40	$59.86	$68.73
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 $54.38 / $91.15 / $91.15	Professional		$54.38	$91.15	$91.15
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 $70.70 / $70.70 / $136.47	Facility		$70.70	$70.70	$136.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $70.70 / $555.54	Professional		$51.62	$70.70	$555.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.74 / $91.15 / $113.93	Professional		$74.74	$91.15	$113.93
United Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $55.96 / $86.38	Professional		$38.74	$55.96	$86.38