Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.28 / $107.28 / $114.81	Facility		$107.28	$107.28	$114.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.52 / $107.28 / $135.08	Professional		$99.52	$107.28	$135.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.19 / $102.71 / $157.00	Professional		$86.19	$102.71	$157.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.08 / $138.08 / $138.08	Facility		$138.08	$138.08	$138.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.41 / $138.08 / $221.92	Professional		$96.41	$138.08	$221.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.24 / $122.50 / $122.50	Facility		$99.24	$122.50	$122.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.08 / $147.74 / $232.70	Professional		$102.08	$147.74	$232.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $128.22	Professional		$32.34	$32.34	$128.22
United Facility/Professional Professional Modifier Low / Median / High Price $97.05 / $134.63 / $228.78	Professional		$97.05	$134.63	$228.78