Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $47.86	Professional		$38.02	$38.02	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $48.98	Professional		$38.90	$38.90	$48.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $61.66	Facility		$38.90	$38.90	$61.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $41.69 / $53.70	Professional		$38.90	$41.69	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $85.11 / $85.11	Facility		$38.90	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $162.18	Professional		$38.90	$38.90	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $53.70	Professional		$39.81	$39.81	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $125.89	Professional		$61.66	$97.72	$125.89