Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.23 / $83.23 / $176.87	Facility		$83.23	$83.23	$176.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.23 / $83.23 / $86.35	Professional		$83.23	$83.23	$86.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.69 / $114.88 / $114.88	Facility		$105.69	$114.88	$114.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.69 / $86.70 / $91.90	Professional		$73.69	$86.70	$91.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.22 / $83.06 / $135.19	Facility		$69.22	$83.06	$135.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.84 / $69.22 / $106.60	Professional		$58.84	$69.22	$106.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Facility		$88.43	$88.43	$88.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $91.90 / $132.13	Professional		$88.43	$91.90	$132.13
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 $86.70 / $86.70 / $86.70	Professional		$86.70	$86.70	$86.70