Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.88 / $45.54 / $247.03	Facility		$43.88	$45.54	$247.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $45.54 / $55.54	Professional		$43.88	$45.54	$55.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $49.99 / $58.37	Facility		$26.50	$49.99	$58.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $26.50 / $26.50	Professional		$22.22	$26.50	$26.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.54 / $77.76 / $91.64	Facility		$55.54	$77.76	$91.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $72.20 / $124.97	Professional		$55.54	$72.20	$124.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.10 / $42.38 / $90.10	Facility		$36.10	$42.38	$90.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $66.65 / $267.70	Professional		$25.43	$66.65	$267.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $30.55 / $30.55	Professional		$30.55	$30.55	$30.55
United Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $33.32 / $61.09	Professional		$23.33	$33.32	$61.09