Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.38 / $142.38 / $142.38	Facility		$142.38	$142.38	$142.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $142.38 / $147.72	Professional		$142.38	$142.38	$147.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $142.38 / $142.38	Professional		$142.38	$142.38	$142.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.86 / $110.40 / $126.18	Facility		$78.86	$110.40	$126.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.51 / $86.75 / $118.07	Professional		$77.51	$86.75	$118.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Facility		$151.27	$151.27	$151.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Professional		$151.27	$151.27	$151.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $161.79 / $166.64	Professional		$161.79	$161.79	$166.64