Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.75 / $61.75 / $61.75	Facility		$61.75	$61.75	$61.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.13 / $77.20 / $94.71	Professional		$38.13	$77.20	$94.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $61.04 / $115.92	Professional		$45.23	$61.04	$115.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.20 / $129.74 / $162.16	Facility		$86.20	$129.74	$162.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.94 / $129.74 / $210.72	Professional		$101.94	$129.74	$210.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.60 / $119.60 / $119.60	Facility		$119.60	$119.60	$119.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $44.32 / $109.06	Professional		$44.32	$44.32	$109.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $56.00	Professional		$45.00	$45.00	$56.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $46.24 / $67.01	Professional		$30.71	$46.24	$67.01