Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.54 / $50.33 / $50.33	Facility		$48.54	$50.33	$50.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $48.54 / $50.44	Professional		$27.84	$48.54	$50.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.78 / $94.43 / $99.25	Facility		$58.78	$94.43	$99.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $27.49 / $50.86	Professional		$27.49	$27.49	$50.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.81 / $131.47 / $151.22	Facility		$70.81	$131.47	$151.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.71 / $117.39 / $155.81	Professional		$89.71	$117.39	$155.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $110.66	Facility		$58.60	$58.60	$110.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $58.60 / $450.48	Professional		$42.78	$58.60	$450.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $63.10 / $78.87	Professional		$51.74	$63.10	$78.87
United Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $45.35 / $62.26	Professional		$31.41	$45.35	$62.26