Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $87.10 / $100.00	Professional		$52.48	$87.10	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $75.86 / $79.43	Professional		$45.71	$75.86	$79.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $128.82 / $169.82	Facility		$93.33	$128.82	$169.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $131.83 / $190.55	Professional		$114.82	$131.83	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $575.44	Professional		$51.29	$81.28	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $74.13	Professional		$35.48	$52.48	$74.13