Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $218.78 / $218.78	Facility		$173.78	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $218.78 / $218.78	Professional		$112.20	$218.78	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $223.87	Professional		$6.31	$6.31	$223.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42,657.95 / $42,657.95 / $42,657.95	Professional		$42,657.95	$42,657.95	$42,657.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $44.67	Professional		$30.20	$30.20	$44.67