Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.86 / $75.97 / $129.15	Facility		$74.86	$75.97	$129.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $84.40	Professional		$75.97	$75.97	$84.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.00 / $89.59 / $151.94	Facility		$86.00	$89.59	$151.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $75.97 / $75.97	Professional		$64.56	$75.97	$75.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $82.61 / $121.55	Facility		$75.97	$82.61	$121.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $83.57 / $116.99	Professional		$75.97	$83.57	$116.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $141.50	Facility		$75.97	$75.97	$141.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $183.12 / $183.12	Professional		$75.97	$183.12	$183.12
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 $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97