Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $55.16 / $93.77	Facility		$55.16	$55.16	$93.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $57.92	Professional		$55.16	$55.16	$57.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.45 / $65.05 / $94.32	Facility		$62.45	$65.05	$94.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $55.16	Professional		$55.16	$55.16	$55.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $58.21 / $88.26	Facility		$55.16	$58.21	$88.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $60.68 / $84.95	Professional		$55.16	$60.68	$84.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.58 / $55.16 / $85.00	Facility		$54.58	$55.16	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $55.16 / $100.84	Professional		$47.79	$55.16	$100.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.59 / $53.59 / $53.59	Professional		$53.59	$53.59	$53.59
United Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $55.16 / $55.16	Professional		$22.06	$55.16	$55.16