Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $101.03 / $101.03	Facility		$101.03	$101.03	$101.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $102.04	Professional		$101.03	$101.03	$102.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $119.14 / $217.18	Facility		$101.03	$119.14	$217.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $103.05	Professional		$101.03	$101.03	$103.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $141.44 / $161.65	Facility		$101.03	$141.44	$161.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $111.13 / $146.49	Professional		$101.03	$111.13	$146.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $174.32 / $174.32	Facility		$101.03	$174.32	$174.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.54 / $101.03 / $142.97	Professional		$98.54	$101.03	$142.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $105.46 / $140.00	Professional		$101.03	$105.46	$140.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $108.20	Professional		$101.03	$101.03	$108.20