Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.22 / $173.91 / $180.25	Facility		$162.22	$173.91	$180.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.22 / $180.25 / $190.42	Professional		$162.22	$180.25	$190.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.66 / $176.67 / $264.45	Professional		$154.66	$176.67	$264.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.17 / $171.96 / $252.42	Facility		$36.17	$171.96	$252.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $52.01 / $250.73	Professional		$36.04	$52.01	$250.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.96 / $220.34 / $739.96	Facility		$142.96	$220.34	$739.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.88 / $281.81 / $910.50	Professional		$178.88	$281.81	$910.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $185.45	Professional		$32.34	$32.34	$185.45
United Facility/Professional Professional Modifier Low / Median / High Price $153.15 / $218.70 / $291.68	Professional		$153.15	$218.70	$291.68