Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $100.30 / $170.15	Facility		$100.09	$100.30	$170.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $121.36	Professional		$100.09	$100.09	$121.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.30 / $118.03 / $200.18	Facility		$113.30	$118.03	$200.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $100.09 / $100.09	Professional		$75.06	$100.09	$100.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $120.11 / $160.13	Facility		$100.09	$120.11	$160.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $110.10 / $154.13	Professional		$100.09	$110.10	$154.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.09 / $102.69 / $102.69	Facility		$100.09	$102.69	$102.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $136.66	Professional		$100.09	$100.09	$136.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $100.30 / $126.28	Professional		$97.14	$100.30	$126.28
United Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $106.10 / $111.42	Professional		$100.09	$106.10	$111.42