Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.53 / $84.57 / $143.77	Facility		$84.53	$84.57	$143.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $102.28	Professional		$84.57	$84.57	$102.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.74 / $99.73 / $169.14	Facility		$95.74	$99.73	$169.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $87.71	Professional		$84.57	$84.57	$87.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.57 / $101.48 / $135.31	Facility		$84.57	$101.48	$135.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $93.03 / $130.24	Professional		$84.57	$93.03	$130.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.57 / $117.63 / $117.63	Facility		$84.57	$117.63	$117.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $119.68	Professional		$84.57	$84.57	$119.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $117.63 / $152.91	Professional		$84.57	$117.63	$152.91
United Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $89.64 / $95.06	Professional		$84.57	$89.64	$95.06