Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $144.54 / $144.54	Facility		$77.62	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $85.11	Professional		$77.62	$77.62	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $81.28	Professional		$77.62	$77.62	$81.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $125.89	Facility		$77.62	$77.62	$125.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $109.65	Professional		$77.62	$83.18	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $125.89 / $125.89	Facility		$77.62	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $331.13	Professional		$77.62	$77.62	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $109.65	Professional		$81.28	$81.28	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $125.89	Professional		$77.62	$107.15	$125.89