Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.14 / $97.14 / $206.43	Facility		$97.14	$97.14	$206.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $97.14 / $100.79	Professional		$97.14	$97.14	$100.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.76 / $116.41 / $119.40	Facility		$111.76	$116.41	$119.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $25.03 / $29.45	Professional		$10.50	$25.03	$29.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.20 / $12.20 / $19.52	Facility		$12.20	$12.20	$19.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $11.99 / $12.20	Professional		$11.99	$11.99	$12.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.22 / $103.22 / $103.22	Facility		$103.22	$103.22	$103.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.44 / $150.44 / $150.44	Professional		$150.44	$150.44	$150.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $101.19 / $101.19	Professional		$101.19	$101.19	$101.19