Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.80 / $119.61 / $119.61	Facility		$108.80	$119.61	$119.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.61 / $119.61 / $119.61	Professional		$119.61	$119.61	$119.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.76 / $125.79 / $138.38	Facility		$120.76	$125.79	$138.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.66 / $106.67 / $106.67	Professional		$90.66	$106.67	$106.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $28.71 / $50.04	Facility		$27.80	$28.71	$50.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $29.23 / $42.81	Professional		$23.63	$29.23	$42.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.80 / $131.35 / $131.35	Facility		$108.80	$131.35	$131.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $131.35 / $162.56	Professional		$21.50	$131.35	$162.56
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 $110.87 / $138.38 / $140.74	Professional		$110.87	$138.38	$140.74