Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $123.00	Facility		$123.00	$123.00	$123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $123.00 / $127.61	Professional		$123.00	$123.00	$127.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.38 / $59.38 / $123.00	Professional		$59.38	$59.38	$123.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.63 / $72.28 / $82.61	Facility		$51.63	$72.28	$82.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $62.42 / $77.30	Professional		$51.63	$62.42	$77.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.56 / $60.56 / $130.69	Facility		$60.56	$60.56	$130.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.49 / $130.69 / $130.69	Professional		$90.49	$130.69	$130.69
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 $128.13 / $128.13 / $137.22	Professional		$128.13	$128.13	$137.22