Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $114.82	Facility		$77.62	$77.62	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $125.89	Professional		$81.28	$107.15	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $117.49 / $141.25	Professional		$112.20	$117.49	$141.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $109.65 / $169.82	Facility		$11.48	$109.65	$169.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $154.88 / $234.42	Professional		$18.62	$154.88	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $173.78 / $245.47	Facility		$37.15	$173.78	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $741.31	Professional		$104.71	$134.90	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $128.82	Professional		$102.33	$123.03	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $66.07 / $104.71	Facility		$8.71	$66.07	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $173.78	Professional		$60.26	$109.65	$173.78