Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $159.38	Facility		$75.00	$75.00	$159.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $77.81	Professional		$75.00	$75.00	$77.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $93.75 / $93.75	Facility		$90.00	$93.75	$93.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.62 / $79.50 / $79.50	Professional		$59.62	$79.50	$79.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $62.41 / $112.34	Facility		$62.41	$62.41	$112.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.05 / $61.34 / $62.41	Professional		$53.05	$61.34	$62.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $79.50 / $82.02	Facility		$79.50	$79.50	$82.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $149.38 / $342.99	Professional		$79.50	$149.38	$342.99
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 $90.69 / $90.69 / $90.69	Professional		$90.69	$90.69	$90.69