Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $134.90	Professional		$112.20	$112.20	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $128.82	Professional		$112.20	$112.20	$128.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $177.83	Facility		$112.20	$112.20	$177.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $120.23 / $158.49	Professional		$112.20	$120.23	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $831.76 / $831.76	Facility		$112.20	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $478.63	Professional		$112.20	$112.20	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $812.83	Professional		$125.89	$177.83	$812.83