Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.75 / $96.75 / $96.75	Facility		$96.75	$96.75	$96.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $96.75 / $100.38	Professional		$96.75	$96.75	$100.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $96.75 / $96.75	Professional		$0.02	$96.75	$96.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.17 / $90.17 / $90.17	Facility		$90.17	$90.17	$90.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.79 / $74.06 / $90.17	Professional		$66.79	$74.06	$90.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Facility		$102.80	$102.80	$102.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Professional		$102.80	$102.80	$102.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $100.78 / $107.94	Professional		$100.78	$100.78	$107.94