Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $98.16 / $208.59	Facility		$98.16	$98.16	$208.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $98.16 / $101.84	Professional		$98.16	$98.16	$101.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.59 / $127.81 / $127.81	Facility		$117.59	$127.81	$127.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.13 / $108.39 / $108.39	Professional		$92.13	$108.39	$108.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.26 / $24.02 / $41.87	Facility		$23.26	$24.02	$41.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.86 / $23.26 / $23.26	Professional		$22.86	$23.26	$23.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $108.39 / $108.39	Facility		$85.00	$108.39	$108.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $127.83	Professional		$108.39	$108.39	$127.83
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 $116.00 / $122.70 / $122.70	Professional		$116.00	$122.70	$122.70