Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.07 / $124.32 / $169.91	Facility		$21.07	$124.32	$169.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $124.32 / $197.49	Professional		$22.36	$124.32	$197.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $130.16 / $249.01	Professional		$18.89	$130.16	$249.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.43 / $24.90 / $29.56	Facility		$17.43	$24.90	$29.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $25.80 / $201.19	Professional		$20.07	$25.80	$201.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $32.03 / $32.03	Facility		$32.03	$32.03	$32.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $143.09 / $327.81	Professional		$22.52	$143.09	$327.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $169.83	Professional		$32.34	$32.34	$169.83
United Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $194.74 / $278.05	Professional		$158.88	$194.74	$278.05