Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.18 / $51.18 / $51.18	Facility		$51.18	$51.18	$51.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $48.79 / $64.01	Professional		$24.25	$48.79	$64.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $50.60 / $76.45	Professional		$27.52	$50.60	$76.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.85 / $102.53 / $113.52	Facility		$54.85	$102.53	$113.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $88.34 / $153.63	Professional		$69.50	$88.34	$153.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.02 / $90.02 / $90.02	Facility		$90.02	$90.02	$90.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $28.19 / $90.42	Professional		$28.19	$28.19	$90.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $34.61 / $59.06	Professional		$19.53	$34.61	$59.06