Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $117.49 / $52,480.75	Facility		$81.28	$117.49	$52,480.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $114.82	Professional		$81.28	$81.28	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $97.72 / $154.88	Facility		$93.33	$97.72	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $131.83	Facility		$81.28	$81.28	$131.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $120.23	Professional		$81.28	$87.10	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $114.82 / $114.82	Facility		$81.28	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $346.74	Professional		$81.28	$81.28	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $107.15	Professional		$81.28	$81.28	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $91.20	Professional		$81.28	$87.10	$91.20