Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.29 / $53.02 / $55.14	Facility		$46.29	$53.02	$55.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $53.76 / $59.04	Professional		$47.34	$53.76	$59.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $111.41 / $117.09	Facility		$69.34	$111.41	$117.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.09 / $59.47 / $76.72	Professional		$52.09	$59.47	$76.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.56 / $155.06 / $178.38	Facility		$83.56	$155.06	$178.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.84 / $138.44 / $183.83	Professional		$105.84	$138.44	$183.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.96 / $87.96 / $130.56	Facility		$87.96	$87.96	$130.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $87.96 / $490.10	Professional		$74.77	$87.96	$490.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.91 / $66.97 / $83.71	Professional		$54.91	$66.97	$83.71
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $55.58 / $76.09	Professional		$37.04	$55.58	$76.09