Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Facility		$70.70	$70.70	$70.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $71.40	Professional		$70.70	$70.70	$71.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $73.52	Professional		$70.70	$70.70	$73.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $98.98 / $113.12	Facility		$70.70	$98.98	$113.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $77.77 / $102.52	Professional		$70.70	$77.77	$102.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $255.00 / $255.00	Facility		$70.70	$255.00	$255.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $178.18	Professional		$70.70	$70.70	$178.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.04 / $73.54 / $95.60	Professional		$71.04	$73.54	$95.60
United Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $75.72	Professional		$70.70	$70.70	$75.72