Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $71.65 / $115.94	Facility		$68.20	$71.65	$115.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $86.70	Professional		$68.20	$68.20	$86.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $80.43 / $136.40	Facility		$77.20	$80.43	$136.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $74.34	Professional		$68.20	$68.20	$74.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $81.84 / $109.12	Facility		$68.20	$81.84	$109.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $75.02 / $105.03	Professional		$68.20	$75.02	$105.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $222.81 / $222.81	Facility		$68.20	$222.81	$222.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $331.52	Professional		$68.20	$68.20	$331.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $68.20 / $77.39	Professional		$59.53	$68.20	$77.39
United Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $72.29 / $75.92	Professional		$68.20	$72.29	$75.92