Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $78.98 / $167.86	Facility		$78.98	$78.98	$167.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $78.98 / $83.93	Professional		$78.98	$78.98	$83.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.42 / $93.15 / $93.15	Facility		$89.42	$93.15	$93.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $82.94 / $82.94	Professional		$78.98	$82.94	$82.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.97 / $161.96 / $47,999.52	Facility		$119.97	$161.96	$47,999.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.31 / $131.97 / $191.96	Professional		$93.31	$131.97	$191.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.93 / $83.93 / $83.93	Facility		$83.93	$83.93	$83.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.67 / $88.87 / $123.80	Professional		$69.67	$88.87	$123.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.87 / $106.64 / $3,000.00	Professional		$88.87	$106.64	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $104.42 / $109.92	Professional		$98.74	$104.42	$109.92