Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Facility		$101.72	$101.72	$101.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $102.73	Professional		$101.72	$101.72	$102.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.15 / $119.95 / $119.95	Facility		$115.15	$119.95	$119.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.46 / $101.72 / $101.72	Professional		$86.46	$101.72	$101.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $142.41 / $162.75	Facility		$101.72	$142.41	$162.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $111.89 / $147.49	Professional		$101.72	$111.89	$147.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $229.98 / $229.98	Facility		$101.72	$229.98	$229.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.72 / $101.72 / $147.13	Professional		$100.72	$101.72	$147.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.18 / $102.18 / $132.83	Professional		$102.18	$102.18	$132.83
United Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $126.02	Professional		$101.72	$101.72	$126.02