Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $66.64 / $113.29	Facility		$66.64	$66.64	$113.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $71.66	Professional		$66.64	$66.64	$71.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.44 / $78.59 / $133.28	Facility		$75.44	$78.59	$133.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.64 / $66.64 / $66.64	Professional		$56.64	$66.64	$66.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $72.42 / $106.62	Facility		$66.64	$72.42	$106.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $73.30 / $102.63	Professional		$66.64	$73.30	$102.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $66.64 / $90.77	Facility		$66.64	$66.64	$90.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.64 / $135.62	Professional		$51.29	$66.64	$135.62
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 $66.64 / $66.64 / $74.64	Professional		$66.64	$66.64	$74.64