Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Facility		$87.98	$87.98	$87.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $88.86	Professional		$87.98	$87.98	$88.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $87.98	Professional		$87.98	$87.98	$87.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $123.17 / $140.77	Facility		$87.98	$123.17	$140.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $96.78 / $127.57	Professional		$87.98	$96.78	$127.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $149.77 / $149.77	Facility		$87.98	$149.77	$149.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $150.55	Professional		$87.98	$87.98	$150.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.69 / $94.93 / $123.41	Professional		$83.69	$94.93	$123.41
United Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $87.98 / $94.23	Professional		$87.98	$87.98	$94.23