Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $65.41 / $65.41	Facility		$65.41	$65.41	$65.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $66.06	Professional		$65.41	$65.41	$66.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.04 / $77.13 / $77.13	Facility		$74.04	$77.13	$77.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $65.41	Professional		$65.41	$65.41	$65.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $91.57 / $104.66	Facility		$65.41	$91.57	$104.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $71.95 / $94.84	Professional		$65.41	$71.95	$94.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.40 / $85.00 / $85.00	Facility		$65.40	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.98 / $65.40 / $92.55	Professional		$47.98	$65.40	$92.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $85.03	Professional		$65.41	$65.41	$85.03
United Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $70.05	Professional		$65.41	$65.41	$70.05