Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $49.10 / $50.92	Facility		$34.72	$49.10	$50.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $49.10 / $53.12	Professional		$42.19	$49.10	$53.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $95.54 / $100.41	Facility		$59.47	$95.54	$100.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.69 / $55.94 / $57.20	Professional		$44.69	$55.94	$57.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.66 / $133.76 / $167.48	Facility		$71.66	$133.76	$167.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.54 / $119.43 / $157.63	Professional		$95.54	$119.43	$157.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.81 / $61.81 / $125.35	Facility		$61.81	$61.81	$125.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $61.81 / $525.38	Professional		$45.12	$61.81	$525.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $60.89 / $76.11	Professional		$49.92	$60.89	$76.11
United Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $47.66 / $76.43	Professional		$31.78	$47.66	$76.43