Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.54 / $37.04 / $38.52	Facility		$21.54	$37.04	$38.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $31.58 / $38.52	Professional		$28.20	$31.58	$38.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.44 / $77.81 / $81.79	Facility		$48.44	$77.81	$81.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.69 / $35.59 / $36.40	Professional		$29.69	$35.59	$36.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.37 / $85.91 / $112.84	Facility		$58.37	$85.91	$112.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.14 / $93.38 / $128.40	Professional		$68.14	$93.38	$128.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.03 / $37.03 / $91.20	Facility		$37.03	$37.03	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $37.03 / $331.09	Professional		$27.03	$37.03	$331.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.66 / $49.59 / $61.98	Professional		$40.66	$49.59	$61.98
United Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $38.47 / $48.53	Professional		$25.88	$38.47	$48.53