Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $216.00	Facility		$48.00	$48.00	$216.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $48.00 / $192.00	Professional		$38.00	$48.00	$192.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.00 / $204.00 / $271.60	Professional		$148.00	$204.00	$271.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.25 / $121.06 / $315.39	Facility		$43.25	$121.06	$315.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $105.40 / $166.23	Professional		$42.04	$105.40	$166.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $165.00 / $243.00	Professional		$120.00	$165.00	$243.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $78.98 / $162.00	Professional		$78.98	$78.98	$162.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $57.00 / $74.00	Professional		$44.00	$57.00	$74.00