Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $85.11 / $169.82	Facility		$83.18	$85.11	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $117.49	Professional		$83.18	$85.11	$117.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $100.00 / $158.49	Facility		$95.50	$100.00	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
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 / $85.11 / $117.49	Professional		$81.28	$85.11	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $120.23 / $120.23	Facility		$85.11	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $346.74	Professional		$85.11	$85.11	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $109.65	Professional		$85.11	$85.11	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $89.13 / $93.33	Professional		$85.11	$89.13	$93.33