Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.51 / $74.98 / $77.98	Facility		$45.51	$74.98	$77.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $70.33 / $77.98	Professional		$61.84	$70.33	$77.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.07 / $157.55 / $165.59	Facility		$98.07	$157.55	$165.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.27 / $75.19 / $76.13	Professional		$70.27	$75.19	$76.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.16 / $201.66 / $230.46	Facility		$118.16	$201.66	$230.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $189.06 / $259.95	Professional		$148.13	$189.06	$259.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.25 / $99.25 / $184.63	Facility		$99.25	$99.25	$184.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $91.18 / $702.56	Professional		$72.45	$91.18	$702.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.33 / $100.41 / $125.51	Professional		$82.33	$100.41	$125.51
United Facility/Professional Facility Modifier Low / Median / High Price $82.54 / $82.54 / $96.25	Facility		$82.54	$82.54	$96.25
United Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $78.61 / $103.87	Professional		$52.40	$78.61	$103.87