Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.15 / $77.15 / $77.15	Facility		$77.15	$77.15	$77.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.77 / $80.73 / $100.91	Professional		$43.77	$80.73	$100.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.53 / $76.27 / $138.04	Professional		$45.53	$76.27	$138.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.05 / $156.32 / $169.63	Facility		$99.05	$156.32	$169.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.92 / $144.94 / $238.55	Professional		$121.92	$144.94	$238.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.08 / $138.08 / $138.08	Facility		$138.08	$138.08	$138.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $50.89 / $136.27	Professional		$50.89	$50.89	$136.27
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 $35.26 / $56.67 / $76.34	Professional		$35.26	$56.67	$76.34