Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $43.51 / $76.90	Facility		$37.90	$43.51	$76.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $46.80 / $64.56	Professional		$37.90	$46.80	$64.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $48.17 / $50.45	Professional		$30.40	$48.17	$50.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.08 / $103.22 / $129.03	Facility		$59.08	$103.22	$129.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.89 / $103.22 / $147.46	Professional		$78.89	$103.22	$147.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.40 / $86.40 / $86.40	Facility		$86.40	$86.40	$86.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $132.54	Professional		$30.08	$30.08	$132.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $73.73	Professional		$45.00	$45.00	$73.73
United Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $36.72 / $48.61	Professional		$24.52	$36.72	$48.61