Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $74.13 / $147.91	Facility		$72.44	$74.13	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $100.00	Professional		$72.44	$74.13	$100.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $87.10 / $125.89	Facility		$83.18	$87.10	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $117.49	Facility		$74.13	$74.13	$117.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $107.15	Professional		$74.13	$77.62	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $107.15 / $107.15	Facility		$74.13	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $316.23	Professional		$74.13	$74.13	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $95.50	Professional		$74.13	$74.13	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $83.18	Professional		$74.13	$77.62	$83.18