Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.22 / $149.22 / $317.12	Facility		$149.22	$149.22	$317.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.22 / $149.22 / $154.83	Professional		$149.22	$149.22	$154.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.82 / $61.28 / $183.43	Facility		$58.82	$61.28	$183.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.96 / $132.31 / $132.31	Professional		$51.96	$132.31	$132.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.01 / $39.96 / $71.93	Facility		$38.01	$39.96	$71.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.01 / $38.01 / $58.54	Professional		$38.01	$38.01	$58.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Facility		$158.56	$158.56	$158.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $231.36 / $231.36	Professional		$158.56	$231.36	$231.36
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 $146.96 / $155.44 / $155.44	Professional		$146.96	$155.44	$155.44