Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.42 / $61.89 / $64.19	Facility		$41.42	$61.89	$64.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.17 / $62.63 / $64.30	Professional		$53.17	$62.63	$64.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.95 / $120.42 / $126.56	Facility		$74.95	$120.42	$126.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $66.73 / $69.41	Professional		$56.32	$66.73	$69.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.32 / $167.58 / $214.60	Facility		$90.32	$167.58	$214.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.40 / $149.63 / $198.69	Professional		$114.40	$149.63	$198.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $84.33 / $145.91	Facility		$84.33	$84.33	$145.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $84.33 / $611.61	Professional		$61.56	$84.33	$611.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $76.73 / $95.92	Professional		$62.92	$76.73	$95.92
United Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $59.54 / $79.39	Professional		$40.04	$59.54	$79.39