Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $109.65 / $194.98	Facility		$64.57	$109.65	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $64.57 / $77.62	Professional		$12.59	$64.57	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $81.28 / $85.11	Facility		$66.07	$81.28	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $32.36	Professional		$5.25	$5.25	$32.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $95.50 / $112.20	Facility		$81.28	$95.50	$112.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $162.18	Professional		$81.28	$100.00	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $109.65 / $128.82	Facility		$21.88	$109.65	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $389.05 / $389.05	Professional		$37.15	$389.05	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $12.02 / $81.28	Professional		$7.24	$12.02	$81.28