Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.45 / $64.45 / $64.45	Facility		$64.45	$64.45	$64.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $64.45 / $80.59	Professional		$31.07	$64.45	$80.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $63.72 / $97.99	Professional		$38.77	$63.72	$97.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $126.41 / $144.46	Facility		$70.20	$126.41	$144.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $123.44 / $203.15	Professional		$88.96	$123.44	$203.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.36 / $113.36 / $113.36	Facility		$113.36	$113.36	$113.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $113.86	Professional		$36.11	$36.11	$113.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $50.00	Professional		$19.00	$19.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $45.04 / $66.95	Professional		$25.03	$45.04	$66.95