Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $161.62 / $161.62	Facility		$161.62	$161.62	$161.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $163.24	Professional		$161.62	$161.62	$163.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.21 / $161.62 / $161.62	Professional		$121.21	$161.62	$161.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $226.27 / $258.58	Facility		$161.62	$226.27	$258.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $177.78 / $234.35	Professional		$161.62	$177.78	$234.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $379.65 / $379.65	Facility		$161.62	$379.65	$379.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $303.61	Professional		$161.62	$161.62	$303.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $171.43	Professional		$45.00	$45.00	$171.43
United Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $173.10	Professional		$161.62	$161.62	$173.10