Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.03 / $76.18 / $127.55	Facility		$75.03	$76.18	$127.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.78 / $103.03	Professional		$75.03	$75.78	$103.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.94 / $88.48 / $150.06	Facility		$84.94	$88.48	$150.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $80.05	Professional		$75.03	$75.03	$80.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.03 / $82.53 / $120.05	Facility		$75.03	$82.53	$120.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $78.78 / $108.79	Professional		$75.03	$78.78	$108.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.02 / $105.97 / $105.97	Facility		$75.02	$105.97	$105.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $75.02 / $106.17	Professional		$75.02	$75.02	$106.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.69 / $76.18 / $98.40	Professional		$75.69	$76.18	$98.40
United Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $79.53 / $83.52	Professional		$75.03	$79.53	$83.52