Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Facility		$134.88	$134.88	$134.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $136.22	Professional		$134.88	$134.88	$136.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.69 / $159.06 / $159.06	Facility		$152.69	$159.06	$159.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Professional		$134.88	$134.88	$134.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $188.85 / $215.82	Facility		$134.88	$188.85	$215.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $148.38 / $195.59	Professional		$134.88	$148.38	$195.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $140.35 / $140.35	Facility		$134.88	$140.35	$140.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $190.88	Professional		$134.88	$134.88	$190.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $136.47 / $177.42	Professional		$136.47	$136.47	$177.42
United Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $144.47	Professional		$134.88	$134.88	$144.47