Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $154.88	Professional		$87.10	$102.33	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $128.82	Professional		$91.20	$107.15	$128.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $123.03 / $169.82	Facility		$91.20	$123.03	$169.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $169.82	Professional		$102.33	$128.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $177.83 / $177.83	Facility		$125.89	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $537.03	Professional		$104.71	$147.91	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $204.17	Professional		$102.33	$125.89	$204.17