Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.45 / $52.49 / $89.23	Facility		$50.45	$52.49	$89.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $52.49 / $71.54	Professional		$52.49	$52.49	$71.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.42 / $61.90 / $104.98	Facility		$59.42	$61.90	$104.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $52.49 / $52.49	Professional		$47.24	$52.49	$52.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.49 / $62.99 / $83.98	Facility		$52.49	$62.99	$83.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $57.74 / $80.83	Professional		$52.49	$57.74	$80.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.49 / $52.96 / $52.96	Facility		$52.49	$52.96	$52.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $52.49 / $68.73	Professional		$50.45	$52.49	$68.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $50.47 / $63.09	Professional		$48.53	$50.47	$63.09
United Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $55.64 / $58.43	Professional		$52.49	$55.64	$58.43