Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $79.43 / $100.00	Professional		$72.44	$79.43	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $63.10	Professional		$30.20	$39.81	$63.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $72.44 / $104.71	Facility		$60.26	$72.44	$104.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $95.50	Professional		$60.26	$74.13	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $380.19	Professional		$60.26	$95.50	$380.19
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 $69.18 / $91.20 / $162.18	Professional		$69.18	$91.20	$162.18