Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Facility		$89.75	$89.75	$89.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $90.64	Professional		$89.75	$89.75	$90.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.61 / $89.75 / $89.75	Professional		$89.61	$89.75	$89.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $121.16 / $143.60	Facility		$89.75	$121.16	$143.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $98.73 / $130.13	Professional		$89.75	$98.73	$130.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $1,417.80 / $1,417.80	Facility		$89.75	$1,417.80	$1,417.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.41 / $89.75 / $127.00	Professional		$82.41	$89.75	$127.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $82.41 / $93.37	Professional		$71.81	$82.41	$93.37
United Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $96.12	Professional		$89.75	$89.75	$96.12