Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.70 / $119.70 / $119.70	Facility		$119.70	$119.70	$119.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.70 / $119.70 / $128.00	Professional		$119.70	$119.70	$128.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $150.00 / $150.00	Professional		$52.80	$150.00	$150.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $399.60 / $399.60 / $399.60	Facility		$399.60	$399.60	$399.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $94.50 / $94.50	Facility		$64.00	$94.50	$94.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $94.50 / $150.55	Professional		$80.33	$94.50	$150.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00