Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $141.25	Facility		$70.79	$70.79	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $97.72	Professional		$70.79	$70.79	$97.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $83.18 / $134.90	Facility		$79.43	$83.18	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $114.82	Facility		$70.79	$70.79	$114.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $102.33	Professional		$70.79	$74.13	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $102.33 / $102.33	Facility		$70.79	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $302.00	Professional		$70.79	$70.79	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $91.20	Professional		$70.79	$70.79	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $75.86 / $79.43	Professional		$70.79	$75.86	$79.43