Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Facility		$71.55	$71.55	$71.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $72.27	Professional		$71.55	$71.55	$72.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $84.38 / $84.38	Facility		$81.00	$84.38	$84.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.54 / $71.55 / $71.55	Professional		$58.54	$71.55	$71.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $100.17 / $114.48	Facility		$71.55	$100.17	$114.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $78.70 / $103.75	Professional		$71.55	$78.70	$103.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $88.55 / $88.55	Facility		$71.55	$88.55	$88.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $101.25	Professional		$71.55	$71.55	$101.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $93.02	Professional		$71.55	$71.55	$93.02
United Facility/Professional Professional Modifier Low / Median / High Price $64.40 / $71.55 / $76.63	Professional		$64.40	$71.55	$76.63