Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Facility		$91.54	$91.54	$91.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $92.45	Professional		$91.54	$91.54	$92.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.80 / $91.54 / $91.54	Professional		$77.80	$91.54	$91.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $128.16 / $146.46	Facility		$91.54	$128.16	$146.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $100.69 / $132.72	Professional		$91.54	$100.69	$132.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $136.00 / $136.00	Facility		$91.54	$136.00	$136.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.72 / $91.54 / $118.60	Professional		$67.72	$91.54	$118.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $70.42 / $95.20	Professional		$68.56	$70.42	$95.20
United Facility/Professional Professional Modifier Low / Median / High Price $82.39 / $91.54 / $98.04	Professional		$82.39	$91.54	$98.04