Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.55 / $73.94 / $125.70	Facility		$73.55	$73.94	$125.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $89.00	Professional		$73.94	$73.94	$89.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.70 / $87.19 / $147.88	Facility		$83.70	$87.19	$147.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.55 / $73.94 / $73.94	Professional		$73.55	$73.94	$73.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $88.73 / $118.30	Facility		$73.94	$88.73	$118.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $81.33 / $113.87	Professional		$73.94	$81.33	$113.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $85.00 / $85.00	Facility		$73.94	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.55 / $73.94 / $100.21	Professional		$73.55	$73.94	$100.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $73.55 / $91.49	Professional		$70.38	$73.55	$91.49
United Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $78.38 / $82.31	Professional		$73.94	$78.38	$82.31