Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.21 / $49.21 / $49.21	Facility		$49.21	$49.21	$49.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $54.80 / $68.34	Professional		$28.97	$54.80	$68.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $48.64 / $91.37	Professional		$31.70	$48.64	$91.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.52 / $103.36 / $135.66	Facility		$65.52	$103.36	$135.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.25 / $99.71 / $166.12	Professional		$81.25	$99.71	$166.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.90 / $89.90 / $89.90	Facility		$89.90	$89.90	$89.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $33.68 / $86.91	Professional		$33.68	$33.68	$86.91
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 $23.34 / $36.50 / $48.69	Professional		$23.34	$36.50	$48.69