Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $138.74 / $138.74	Facility		$138.74	$138.74	$138.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $140.13	Professional		$138.74	$138.74	$140.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.07 / $163.61 / $163.61	Facility		$157.07	$163.61	$163.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $143.22	Professional		$138.74	$138.74	$143.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $194.24 / $221.98	Facility		$138.74	$194.24	$221.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $152.61 / $201.17	Professional		$138.74	$152.61	$201.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $240.24 / $240.24	Facility		$138.74	$240.24	$240.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.13 / $138.74 / $198.95	Professional		$137.13	$138.74	$198.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $50.70 / $177.28	Professional		$35.10	$50.70	$177.28
United Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $149.85	Professional		$138.74	$138.74	$149.85