Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $199.53 / $223.87	Facility		$194.98	$199.53	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $295.12	Professional		$169.82	$208.93	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $263.03	Professional		$138.04	$186.21	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $131.83 / $257.04	Facility		$89.13	$131.83	$257.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $144.54	Professional		$81.28	$117.49	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $977.24	Professional		$154.88	$234.42	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $120.23	Professional		$25.70	$33.11	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $407.38	Professional		$131.83	$204.17	$407.38