Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $84.49 / $84.49	Facility		$84.49	$84.49	$84.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $84.49 / $118.09	Professional		$84.48	$84.49	$118.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $89.06 / $97.74	Facility		$85.50	$89.06	$97.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.28 / $132.38 / $132.38	Professional		$99.28	$132.38	$132.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.10 / $93.61 / $153.18	Facility		$85.10	$93.61	$153.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $93.61 / $131.05	Professional		$72.34	$93.61	$131.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $92.77 / $94.35	Facility		$85.00	$92.77	$94.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $150.85 / $150.85	Professional		$92.77	$150.85	$150.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $97.74 / $130.53	Professional		$82.83	$97.74	$130.53