Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $309.03	Facility		$208.93	$208.93	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $338.84	Professional		$208.93	$281.84	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $371.54	Professional		$263.03	$263.03	$371.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $346.74 / $562.34	Facility		$38.02	$346.74	$562.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $478.63 / $758.58	Professional		$51.29	$478.63	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $389.05 / $776.25	Facility		$114.82	$389.05	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $389.05	Professional		$281.84	$331.13	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $346.74	Professional		$100.00	$100.00	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $208.93 / $309.03	Facility		$25.12	$208.93	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $380.19	Professional		$158.49	$257.04	$380.19