Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.02 / $92.25 / $172.32	Facility		$83.02	$92.25	$172.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.02 / $92.25 / $118.59	Professional		$83.02	$92.25	$118.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.26 / $115.74 / $146.44	Professional		$89.26	$115.74	$146.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.39 / $90.80 / $135.38	Facility		$20.39	$90.80	$135.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $29.32 / $137.09	Professional		$20.41	$29.32	$137.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.20 / $114.20 / $739.96	Facility		$114.20	$114.20	$739.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.06 / $183.88 / $666.55	Professional		$131.06	$183.88	$666.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $97.92	Professional		$32.34	$32.34	$97.92
United Facility/Professional Professional Modifier Low / Median / High Price $106.83 / $130.62 / $167.95	Professional		$106.83	$130.62	$167.95