Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.60 / $111.78 / $153.44	Facility		$100.60	$111.78	$153.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.60 / $111.78 / $153.44	Professional		$100.60	$111.78	$153.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.90 / $136.36 / $204.70	Professional		$115.90	$136.36	$204.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.23 / $110.47 / $162.16	Facility		$26.23	$110.47	$162.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $37.72 / $166.80	Professional		$26.29	$37.72	$166.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.13 / $138.75 / $739.96	Facility		$126.13	$138.75	$739.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $222.08 / $589.42	Professional		$142.63	$222.08	$589.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $119.14	Professional		$32.34	$32.34	$119.14
United Facility/Professional Facility Modifier Low / Median / High Price $163.22 / $163.22 / $163.22	Facility		$163.22	$163.22	$163.22
United Facility/Professional Professional Modifier Low / Median / High Price $125.88 / $144.85 / $192.06	Professional		$125.88	$144.85	$192.06