Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.49 / $145.49 / $145.49	Facility		$145.49	$145.49	$145.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $146.94	Professional		$145.49	$145.49	$146.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.69 / $145.49 / $145.49	Professional		$138.69	$145.49	$145.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $145.49 / $203.69 / $232.78	Facility		$145.49	$203.69	$232.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $160.04 / $210.96	Professional		$145.49	$160.04	$210.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.49 / $183.60 / $183.60	Facility		$145.49	$183.60	$183.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.93 / $145.49 / $205.04	Professional		$133.93	$145.49	$205.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.93 / $135.93 / $176.71	Professional		$135.93	$135.93	$176.71
United Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $155.82	Professional		$145.49	$145.49	$155.82