Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $93.33	Professional		$75.86	$75.86	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $85.11	Professional		$75.86	$75.86	$85.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $120.23	Facility		$75.86	$75.86	$120.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $107.15	Professional		$75.86	$81.28	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $977.24 / $977.24	Facility		$75.86	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $323.59	Professional		$75.86	$75.86	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $128.82 / $954.99	Professional		$120.23	$128.82	$954.99