Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.94 / $87.28 / $148.38	Facility		$86.94	$87.28	$148.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $87.28	Professional		$87.28	$87.28	$87.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.81 / $102.93 / $174.56	Facility		$98.81	$102.93	$174.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.18 / $87.28 / $87.28	Professional		$74.18	$87.28	$87.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.28 / $94.91 / $139.65	Facility		$87.28	$94.91	$139.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $96.01 / $134.41	Professional		$87.28	$96.01	$134.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.28 / $87.28 / $89.60	Facility		$87.28	$87.28	$89.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $129.97 / $129.97	Professional		$87.28	$129.97	$129.97
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 $87.28 / $87.28 / $87.28	Professional		$87.28	$87.28	$87.28