Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $131.90 / $131.90	Facility		$131.90	$131.90	$131.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $133.22	Professional		$131.90	$131.90	$133.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.32 / $155.54 / $155.54	Facility		$149.32	$155.54	$155.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $145.71	Professional		$131.90	$131.90	$145.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $184.66 / $211.04	Facility		$131.90	$184.66	$211.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $145.09 / $191.26	Professional		$131.90	$145.09	$191.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $382.50 / $382.50	Facility		$131.90	$382.50	$382.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $195.71	Professional		$131.90	$131.90	$195.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $137.17 / $173.76	Professional		$133.66	$137.17	$173.76
United Facility/Professional Professional Modifier Low / Median / High Price $131.90 / $131.90 / $194.64	Professional		$131.90	$131.90	$194.64