Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.33 / $70.33 / $391.04	Facility		$70.33	$70.33	$391.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.33 / $70.33 / $72.97	Professional		$70.33	$70.33	$72.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $59.04 / $59.04	Professional		$59.04	$59.04	$59.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.47 / $163.47 / $163.47	Professional		$163.47	$163.47	$163.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.94 / $136.94 / $247.92	Facility		$136.94	$136.94	$247.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $136.94 / $1,214.54	Professional		$136.94	$136.94	$1,214.54
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 $83.51 / $83.51 / $83.51	Professional		$83.51	$83.51	$83.51