Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $112.20	Facility		$56.23	$56.23	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $77.62	Professional		$56.23	$56.23	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $66.07 / $107.15	Facility		$63.10	$66.07	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $89.13	Facility		$54.95	$54.95	$89.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $58.88 / $81.28	Professional		$54.95	$58.88	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $81.28 / $81.28	Facility		$56.23	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $234.42	Professional		$56.23	$56.23	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $72.44	Professional		$54.95	$57.54	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $58.88 / $63.10	Professional		$56.23	$58.88	$63.10