Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.14 / $120.14 / $255.31	Facility		$120.14	$120.14	$255.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.14 / $120.14 / $124.65	Professional		$120.14	$120.14	$124.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $74.80 / $74.80	Facility		$68.81	$74.80	$74.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $125.15 / $125.15	Professional		$63.43	$125.15	$125.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.91 / $53.60 / $93.44	Facility		$51.91	$53.60	$93.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.03 / $51.91 / $79.94	Professional		$51.03	$51.91	$79.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.43 / $63.43 / $85.00	Facility		$63.43	$63.43	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $68.94 / $285.30	Professional		$63.43	$68.94	$285.30
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 $125.15 / $125.15 / $125.15	Professional		$125.15	$125.15	$125.15