Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Facility		$89.41	$89.41	$89.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $90.30	Professional		$89.41	$89.41	$90.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Professional		$89.41	$89.41	$89.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $125.17 / $143.06	Facility		$89.41	$125.17	$143.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $98.35 / $129.63	Professional		$89.41	$98.35	$129.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.41 / $191.25 / $191.25	Facility		$89.41	$191.25	$191.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $157.52	Professional		$89.41	$89.41	$157.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $92.03 / $119.64	Professional		$92.03	$92.03	$119.64
United Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $95.76	Professional		$89.41	$89.41	$95.76