Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $77.48 / $117.93	Facility		$69.37	$77.48	$117.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $93.76	Professional		$69.37	$69.37	$93.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.53 / $81.80 / $138.74	Facility		$78.53	$81.80	$138.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.43 / $69.37 / $77.48	Professional		$62.43	$69.37	$77.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $93.65 / $110.99	Facility		$69.37	$93.65	$110.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $76.31 / $106.83	Professional		$69.37	$76.31	$106.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $95.37 / $95.37	Facility		$69.37	$95.37	$95.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $100.12	Professional		$69.37	$69.37	$100.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.14 / $73.91 / $96.08	Professional		$72.14	$73.91	$96.08
United Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $73.53 / $77.48	Professional		$69.37	$73.53	$77.48