Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $74.45 / $126.41	Facility		$74.36	$74.45	$126.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $102.11	Professional		$74.36	$74.36	$102.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.18 / $87.69 / $148.72	Facility		$84.18	$87.69	$148.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $74.36	Professional		$74.36	$74.36	$74.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $81.80 / $118.98	Facility		$74.36	$81.80	$118.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $78.08 / $107.82	Professional		$74.36	$78.08	$107.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $85.00 / $85.00	Facility		$74.36	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $101.44	Professional		$74.36	$74.36	$101.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $74.45 / $95.38	Professional		$73.37	$74.45	$95.38
United Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $78.81 / $82.78	Professional		$74.36	$78.81	$82.78