Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.65 / $58.65 / $58.65	Facility		$58.65	$58.65	$58.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $73.19 / $87.78	Professional		$36.34	$73.19	$87.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.48 / $57.98 / $110.10	Professional		$43.48	$57.98	$110.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.12 / $123.23 / $170.16	Facility		$82.12	$123.23	$170.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.82 / $127.63 / $230.56	Professional		$96.82	$127.63	$230.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.88 / $117.88 / $117.88	Facility		$117.88	$117.88	$117.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $42.25 / $103.58	Professional		$42.25	$42.25	$103.58
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 $29.28 / $43.91 / $70.42	Professional		$29.28	$43.91	$70.42