Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.55 / $34.61 / $36.00	Facility		$23.55	$34.61	$36.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.55 / $34.64 / $38.57	Professional		$23.55	$34.64	$38.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.28 / $72.73 / $76.45	Facility		$45.28	$72.73	$76.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.03 / $38.92 / $44.76	Professional		$34.03	$38.92	$44.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.56 / $101.30 / $116.56	Facility		$54.56	$101.30	$116.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $90.45 / $120.02	Professional		$69.09	$90.45	$120.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.82 / $46.82 / $85.25	Facility		$46.82	$46.82	$85.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $46.82 / $348.44	Professional		$34.18	$46.82	$348.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.01 / $46.36 / $57.95	Professional		$38.01	$46.36	$57.95
United Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $36.29 / $58.11	Professional		$24.20	$36.29	$58.11