Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.82 / $104.55 / $104.55	Facility		$100.82	$104.55	$104.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.25 / $100.82 / $104.82	Professional		$88.25	$100.82	$104.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.10 / $196.15 / $206.15	Facility		$122.10	$196.15	$206.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.66 / $76.66 / $105.27	Professional		$76.66	$76.66	$105.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.11 / $273.20 / $314.24	Facility		$147.11	$273.20	$314.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $186.34 / $243.94 / $323.64	Professional		$186.34	$243.94	$323.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $112.22 / $229.86	Facility		$112.22	$112.22	$229.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.92 / $112.04 / $936.00	Professional		$81.92	$112.04	$936.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.47 / $131.07 / $163.83	Professional		$107.47	$131.07	$163.83
United Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $94.23 / $129.32	Professional		$65.23	$94.23	$129.32