Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.85 / $63.17 / $92.96	Facility		$56.85	$63.17	$92.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.85 / $63.17 / $80.93	Professional		$56.85	$63.17	$80.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $1,991.00 / $2,894.00	Facility		$1,041.00	$1,991.00	$2,894.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.78 / $129.40 / $200.76	Professional		$106.78	$129.40	$200.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.25 / $55.63 / $87.88	Facility		$22.25	$55.63	$87.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.97 / $31.36 / $92.72	Professional		$20.97	$31.36	$92.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.42 / $77.18 / $969.72	Facility		$76.42	$77.18	$969.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.72 / $115.23 / $494.88	Professional		$68.72	$115.23	$494.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.83 / $32.34 / $98.38	Professional		$26.83	$32.34	$98.38
United Facility/Professional Professional Modifier Low / Median / High Price $95.15 / $124.24 / $162.60	Professional		$95.15	$124.24	$162.60