Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Facility		$65.00	$65.00	$65.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $81.28 / $105.11	Professional		$40.28	$81.28	$105.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $64.25 / $122.03	Professional		$47.42	$64.25	$122.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.22 / $136.57 / $188.60	Facility		$91.22	$136.57	$188.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.31 / $136.57 / $220.86	Professional		$107.31	$136.57	$220.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.83 / $133.83 / $133.83	Facility		$133.83	$133.83	$133.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $46.82 / $114.81	Professional		$46.82	$46.82	$114.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $58.24	Professional		$45.00	$45.00	$58.24
United Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $48.67 / $67.53	Professional		$32.44	$48.67	$67.53