Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $144.69 / $21,738.75	Facility		$85.12	$144.69	$21,738.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $120.88	Professional		$85.12	$85.12	$120.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.36 / $100.38 / $170.24	Facility		$96.36	$100.38	$170.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $85.12	Professional		$85.12	$85.12	$85.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $93.63 / $136.19	Facility		$85.12	$93.63	$136.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $89.38 / $123.42	Professional		$85.12	$89.38	$123.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $85.89 / $85.89	Facility		$85.12	$85.89	$85.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $116.15	Professional		$85.12	$85.12	$116.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.87 / $85.25 / $109.03	Professional		$83.87	$85.25	$109.03
United Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $90.23 / $94.76	Professional		$85.12	$90.23	$94.76