Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Facility		$106.97	$106.97	$106.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $108.04	Professional		$106.97	$106.97	$108.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.12 / $106.97 / $106.97	Professional		$74.12	$106.97	$106.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.97 / $149.76 / $171.15	Facility		$106.97	$149.76	$171.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $117.67 / $155.11	Professional		$106.97	$117.67	$155.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.24 / $95.24 / $106.97	Facility		$95.24	$95.24	$106.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $106.97 / $112.05	Professional		$67.98	$106.97	$112.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $45.00 / $64.75	Professional		$37.86	$45.00	$64.75
United Facility/Professional Professional Modifier Low / Median / High Price $96.27 / $106.97 / $114.56	Professional		$96.27	$106.97	$114.56