Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $63.39 / $6,699.09	Facility		$62.10	$63.39	$6,699.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $85.28	Professional		$62.10	$62.10	$85.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.30 / $73.23 / $124.20	Facility		$70.30	$73.23	$124.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $64.65	Professional		$62.10	$62.10	$64.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $74.52 / $99.36	Facility		$62.10	$74.52	$99.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $68.31 / $95.63	Professional		$62.10	$68.31	$95.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $78.84 / $78.84	Facility		$62.10	$78.84	$78.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $86.84	Professional		$62.10	$62.10	$86.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.99 / $63.39 / $81.89	Professional		$62.99	$63.39	$81.89
United Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $65.83 / $69.13	Professional		$62.10	$65.83	$69.13