Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $39.99 / $41.58	Facility		$30.54	$39.99	$41.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $44.05 / $49.33	Professional		$35.70	$44.05	$49.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.30 / $84.01 / $88.29	Facility		$52.30	$84.01	$88.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $50.46 / $50.99	Professional		$39.29	$50.46	$50.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.01 / $118.45 / $150.68	Facility		$63.01	$118.45	$150.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $106.43 / $138.62	Professional		$79.81	$106.43	$138.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.87 / $59.87 / $109.38	Facility		$59.87	$59.87	$109.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $59.87 / $458.43	Professional		$43.71	$59.87	$458.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $53.55 / $66.93	Professional		$43.91	$53.55	$66.93
United Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $43.16 / $64.59	Professional		$27.94	$43.16	$64.59