Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $62.13 / $349.84	Facility		$15.49	$62.13	$349.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.13 / $64.48 / $78.65	Professional		$62.13	$64.48	$78.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.63 / $70.79 / $82.66	Facility		$33.63	$70.79	$82.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $32.88 / $54.70	Professional		$24.66	$32.88	$54.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.65 / $110.11 / $129.77	Facility		$78.65	$110.11	$129.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.16 / $102.25 / $157.30	Professional		$84.16	$102.25	$157.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.12 / $60.01 / $94.38	Facility		$51.12	$60.01	$94.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $88.47 / $379.09	Professional		$26.54	$88.47	$379.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $43.26 / $43.26	Professional		$43.26	$43.26	$43.26
United Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $33.40 / $86.52	Professional		$31.46	$33.40	$86.52