Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $84.06 / $178.62	Facility		$84.06	$84.06	$178.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.06 / $84.06 / $89.31	Professional		$84.06	$84.06	$89.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.57 / $95.39 / $103.32	Facility		$91.57	$95.39	$103.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $76.23 / $84.06	Professional		$76.23	$76.23	$84.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.53 / $191.14 / $55,999.44	Facility		$136.53	$191.14	$55,999.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.54 / $142.74 / $48,999.51	Professional		$96.54	$142.74	$48,999.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.31 / $89.31 / $89.31	Facility		$89.31	$89.31	$89.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.31 / $89.31 / $89.31	Professional		$89.31	$89.31	$89.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $92.81 / $97.47	Professional		$87.56	$92.81	$97.47