Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $69.73 / $118.54	Facility		$69.73	$69.73	$118.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $82.37	Professional		$69.73	$69.73	$82.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.94 / $82.23 / $119.24	Facility		$78.94	$82.23	$119.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $69.73	Professional		$69.73	$69.73	$69.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $75.92 / $111.57	Facility		$69.73	$75.92	$111.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $73.22 / $107.38	Professional		$69.73	$73.22	$107.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $69.73 / $95.63	Facility		$69.73	$69.73	$95.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $161.90	Professional		$69.73	$69.73	$161.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Professional		$79.50	$79.50	$79.50
United Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $69.73 / $74.68	Professional		$27.89	$69.73	$74.68