Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.97 / $158.71 / $176.35	Facility		$105.97	$158.71	$176.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.71 / $174.44 / $187.43	Professional		$158.71	$174.44	$187.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.33 / $134.46 / $198.70	Professional		$107.33	$134.46	$198.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.06 / $155.30 / $236.54	Facility		$25.06	$155.30	$236.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $36.04 / $239.18	Professional		$24.94	$36.04	$239.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $211.02 / $739.96	Facility		$87.10	$211.02	$739.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.38 / $230.71 / $801.37	Professional		$117.38	$230.71	$801.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $162.62	Professional		$32.34	$32.34	$162.62
United Facility/Professional Professional Modifier Low / Median / High Price $92.59 / $202.10 / $250.92	Professional		$92.59	$202.10	$250.92