Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $85.11	Professional		$61.66	$61.66	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $64.57	Professional		$63.10	$63.10	$64.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $100.00	Facility		$63.10	$63.10	$100.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $66.07 / $87.10	Professional		$63.10	$66.07	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $95.50 / $95.50	Facility		$63.10	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $263.03	Professional		$63.10	$63.10	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $87.10	Professional		$64.57	$64.57	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $93.33 / $125.89	Professional		$81.28	$93.33	$125.89