Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.90 / $80.90 / $80.90	Facility		$80.90	$80.90	$80.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $80.90 / $83.94	Professional		$80.90	$80.90	$83.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.82 / $109.19 / $109.19	Facility		$104.82	$109.19	$109.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.33 / $92.59 / $92.59	Professional		$83.33	$92.59	$92.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.58 / $86.58 / $91.03	Facility		$86.58	$86.58	$91.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.79 / $77.30 / $139.13	Professional		$66.79	$77.30	$139.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Facility		$85.96	$85.96	$85.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $85.96 / $128.44	Professional		$85.96	$85.96	$128.44
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 $130.41 / $136.47 / $140.56	Professional		$130.41	$136.47	$140.56