Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.59 / $166.24 / $220.79	Professional		$117.59	$166.24	$220.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.01 / $190.61 / $220.31	Professional		$162.01	$190.61	$220.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.81 / $228.81 / $269.19	Facility		$183.81	$228.81	$269.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $157.80 / $259.91 / $301.87	Professional		$157.80	$259.91	$301.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.97 / $229.97 / $229.97	Facility		$229.97	$229.97	$229.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.42 / $204.47 / $945.65	Professional		$187.42	$204.47	$945.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $177.59 / $209.69 / $319.27	Professional		$177.59	$209.69	$319.27