Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.33 / $105.33 / $585.64	Facility		$105.33	$105.33	$585.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $105.33 / $105.33	Professional		$105.33	$105.33	$105.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $6.00 / $6.00	Facility		$6.00	$6.00	$6.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $6.00 / $6.26	Professional		$5.09	$6.00	$6.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.61 / $111.45 / $159.22	Facility		$79.61	$111.45	$159.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.18 / $103.49 / $159.22	Professional		$85.18	$103.49	$159.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.75 / $60.75 / $105.33	Facility		$51.75	$60.75	$105.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $105.33 / $383.72	Professional		$91.48	$105.33	$383.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $43.79 / $43.79	Professional		$43.79	$43.79	$43.79
United Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $56.70 / $105.38	Professional		$33.44	$56.70	$105.38