Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.06 / $79.06 / $79.06	Facility		$79.06	$79.06	$79.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $94.48 / $105.79	Professional		$42.13	$94.48	$105.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $78.17 / $132.85	Professional		$54.67	$78.17	$132.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.29 / $165.39 / $203.68	Facility		$95.29	$165.39	$203.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $160.19 / $267.01	Professional		$120.74	$160.19	$267.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.07 / $139.07 / $139.07	Facility		$139.07	$139.07	$139.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $48.97 / $139.66	Professional		$48.97	$48.97	$139.66
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 $33.93 / $59.20 / $81.31	Professional		$33.93	$59.20	$81.31