Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $57.54 / $63.10	Professional		$37.15	$57.54	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $47.86 / $51.29	Professional		$30.90	$47.86	$51.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $97.72 / $104.71	Facility		$57.54	$97.72	$104.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $144.54	Professional		$72.44	$97.72	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $48.98 / $346.74	Professional		$30.90	$48.98	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $35.48 / $45.71	Professional		$21.38	$35.48	$45.71