Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.69 / $55.90 / $58.13	Facility		$42.69	$55.90	$58.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.90 / $69.61 / $80.29	Professional		$49.90	$69.61	$80.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.11 / $117.45 / $123.44	Facility		$73.11	$117.45	$123.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $70.54 / $73.48	Professional		$58.79	$70.54	$73.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.09 / $165.60 / $234.23	Facility		$88.09	$165.60	$234.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.45 / $158.56 / $210.90	Professional		$117.45	$158.56	$210.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $97.44 / $154.79	Facility		$97.44	$97.44	$154.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $97.44 / $648.77	Professional		$71.13	$97.44	$648.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.37 / $74.84 / $93.56	Professional		$61.37	$74.84	$93.56
United Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $62.80 / $90.29	Professional		$39.06	$62.80	$90.29