Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $83.00	Professional		$80.00	$80.00	$83.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.11 / $93.11 / $93.12	Facility		$93.11	$93.11	$93.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $76.48 / $93.12	Professional		$68.98	$76.48	$93.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
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 $160.91 / $160.91 / $172.35	Professional		$160.91	$160.91	$172.35