Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.88 / $63.88 / $94.44	Facility		$63.88	$63.88	$94.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $80.75 / $94.44	Professional		$63.88	$80.75	$94.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.37 / $112.50 / $113.82	Professional		$84.37	$112.50	$113.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $120.20 / $232.41	Facility		$15.12	$120.20	$232.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $136.24 / $232.41	Professional		$15.25	$136.24	$232.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $93.52 / $166.03	Facility		$93.52	$93.52	$166.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $93.52 / $132.47	Professional		$79.48	$93.52	$132.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $103.78	Professional		$100.00	$100.00	$103.78
United Facility/Professional Professional Modifier Low / Median / High Price $48.16 / $73.93 / $97.50	Professional		$48.16	$73.93	$97.50