Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $104.58 / $151.88	Facility		$89.34	$104.58	$151.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $126.54	Professional		$89.34	$89.34	$126.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.15 / $105.36 / $178.68	Facility		$101.15	$105.36	$178.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $108.32	Professional		$89.34	$89.34	$108.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $107.21 / $142.94	Facility		$89.34	$107.21	$142.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $98.27 / $137.58	Professional		$89.34	$98.27	$137.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $137.66 / $137.66	Facility		$89.34	$137.66	$137.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $135.11	Professional		$89.34	$89.34	$135.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.91 / $118.75 / $154.38	Professional		$92.91	$118.75	$154.38
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $94.70 / $104.58	Professional		$89.34	$94.70	$104.58