Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Facility		$123.80	$123.80	$123.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $125.04	Professional		$123.80	$123.80	$125.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $123.80 / $123.80	Professional		$92.85	$123.80	$123.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $173.32 / $198.08	Facility		$123.80	$173.32	$198.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $136.18 / $179.51	Professional		$123.80	$136.18	$179.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $229.50 / $229.50	Facility		$123.80	$229.50	$229.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $229.50	Professional		$123.80	$123.80	$229.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $131.10	Professional		$45.00	$45.00	$131.10
United Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $155.49	Professional		$123.80	$123.80	$155.49