Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.85 / $96.85 / $301.56	Facility		$96.85	$96.85	$301.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.85 / $107.61 / $126.41	Professional		$96.85	$107.61	$126.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.85 / $233.43 / $404.70	Professional		$202.85	$233.43	$404.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.66 / $84.66 / $139.02	Facility		$45.66	$84.66	$139.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $60.85 / $152.91	Professional		$37.04	$60.85	$152.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.11 / $130.11 / $130.11	Facility		$130.11	$130.11	$130.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $160.94 / $358.50	Professional		$96.29	$160.94	$358.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $51.31 / $273.82	Professional		$32.34	$51.31	$273.82
United Facility/Professional Professional Modifier Low / Median / High Price $192.59 / $267.54 / $392.84	Professional		$192.59	$267.54	$392.84