Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Facility		$53.00	$53.00	$53.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $53.53	Professional		$53.00	$53.00	$53.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $83.21	Professional		$53.00	$53.00	$83.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $74.20 / $84.80	Facility		$53.00	$74.20	$84.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $58.30 / $76.84	Professional		$53.00	$58.30	$76.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $969.00 / $969.00	Facility		$53.00	$969.00	$969.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $175.73	Professional		$53.00	$53.00	$175.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.12 / $99.11 / $128.84	Professional		$55.12	$99.11	$128.84
United Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $56.76	Professional		$53.00	$53.00	$56.76