Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $76.48 / $170.86	Facility		$27.68	$76.48	$170.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $71.86 / $115.17	Professional		$27.68	$71.86	$115.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $71.01 / $132.72	Professional		$26.87	$71.01	$132.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $36.04 / $42.81	Facility		$26.50	$36.04	$42.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $37.36 / $106.50	Professional		$26.50	$37.36	$106.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.38 / $46.38 / $91.82	Facility		$46.38	$46.38	$91.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $78.09 / $155.08	Professional		$29.29	$78.09	$155.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $93.46	Professional		$32.34	$32.34	$93.46
United Facility/Professional Professional Modifier Low / Median / High Price $68.79 / $89.05 / $150.46	Professional		$68.79	$89.05	$150.46