Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.60 / $193.60 / $193.60	Facility		$193.60	$193.60	$193.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $193.60 / $200.86	Professional		$193.60	$193.60	$200.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $193.60 / $193.60	Professional		$193.60	$193.60	$193.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.64 / $98.90 / $113.02	Facility		$70.64	$98.90	$113.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.43 / $77.70 / $105.76	Professional		$69.43	$77.70	$105.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $215.05 / $215.05	Facility		$205.70	$215.05	$215.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Professional		$205.70	$205.70	$205.70
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 $220.00 / $220.00 / $226.60	Professional		$220.00	$220.00	$226.60