Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.92 / $57.92 / $123.08	Facility		$57.92	$57.92	$123.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $57.92 / $63.96	Professional		$57.92	$57.92	$63.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.20 / $75.43 / $120.68	Facility		$71.20	$75.43	$120.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $63.96 / $63.96	Professional		$57.92	$63.96	$63.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.88 / $246.23 / $281.41	Facility		$175.88	$246.23	$281.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.87 / $193.47 / $263.33	Professional		$172.87	$193.47	$263.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $85.00 / $85.00	Facility		$61.54	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $61.54 / $72.40	Professional		$61.54	$61.54	$72.40
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 $60.34 / $63.96 / $67.17	Professional		$60.34	$63.96	$67.17