Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $62.97 / $104.45	Facility		$61.44	$62.97	$104.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $84.37	Professional		$61.44	$61.44	$84.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.55 / $72.45 / $122.88	Facility		$69.55	$72.45	$122.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $62.97	Professional		$61.44	$61.44	$62.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $73.73 / $98.30	Facility		$61.44	$73.73	$98.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $67.58 / $94.62	Professional		$61.44	$67.58	$94.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $79.48 / $79.48	Facility		$61.44	$79.48	$79.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $85.80	Professional		$61.44	$61.44	$85.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $62.97 / $81.80	Professional		$62.92	$62.97	$81.80
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $65.13 / $68.40	Professional		$61.44	$65.13	$68.40