Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $76.09	Facility		$76.09	$76.09	$76.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $76.84	Professional		$76.09	$76.09	$76.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $79.23	Professional		$76.09	$76.09	$79.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $106.53 / $121.74	Facility		$76.09	$106.53	$121.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $83.70 / $110.33	Professional		$76.09	$83.70	$110.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $285.18 / $285.18	Facility		$76.09	$285.18	$285.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $170.27	Professional		$76.09	$76.09	$170.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.13 / $86.35 / $112.26	Professional		$79.13	$86.35	$112.26
United Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $81.48	Professional		$76.09	$76.09	$81.48