Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.57 / $94.32 / $112.29	Facility		$84.57	$94.32	$112.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.69 / $90.78 / $112.29	Professional		$71.69	$90.78	$112.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $126.00 / $126.00	Facility		$120.00	$126.00	$126.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $70.20 / $119.42	Professional		$58.70	$70.20	$119.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.23 / $102.97 / $137.30	Facility		$80.23	$102.97	$137.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.04 / $111.55 / $171.62	Professional		$78.04	$111.55	$171.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.16 / $150.16 / $150.16	Facility		$150.16	$150.16	$150.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $110.56 / $175.68	Professional		$75.59	$110.56	$175.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $50.56 / $73.67	Professional		$32.34	$50.56	$73.67
United Facility/Professional Professional Modifier Low / Median / High Price $75.62 / $108.72 / $198.99	Professional		$75.62	$108.72	$198.99