Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.38 / $79.86 / $135.76	Facility		$63.38	$79.86	$135.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $79.86 / $83.86	Professional		$79.23	$79.86	$83.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.41 / $94.18 / $159.72	Facility		$90.41	$94.18	$159.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $79.86	Professional		$79.86	$79.86	$79.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.86 / $95.83 / $127.78	Facility		$79.86	$95.83	$127.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $87.85 / $122.98	Professional		$79.86	$87.85	$122.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.86 / $134.84 / $134.84	Facility		$79.86	$134.84	$134.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $79.86 / $139.43	Professional		$74.76	$79.86	$139.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $65.70 / $82.13	Professional		$63.18	$65.70	$82.13
United Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $84.65 / $88.90	Professional		$79.86	$84.65	$88.90