Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.17 / $57.73 / $59.87	Facility		$39.17	$57.73	$59.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.60 / $62.10 / $70.09	Professional		$49.60	$62.10	$70.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.92 / $112.32 / $118.05	Facility		$69.92	$112.32	$118.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $63.09 / $64.34	Professional		$52.54	$63.09	$64.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.24 / $158.37 / $223.76	Facility		$84.24	$158.37	$223.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.92 / $150.06 / $185.33	Professional		$110.92	$150.06	$185.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $75.80 / $138.51	Facility		$75.80	$75.80	$138.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $75.80 / $580.52	Professional		$55.33	$75.80	$580.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $71.59 / $89.48	Professional		$58.70	$71.59	$89.48
United Facility/Professional Facility Modifier Low / Median / High Price $71.80 / $71.80 / $71.80	Facility		$71.80	$71.80	$71.80
United Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $56.03 / $82.55	Professional		$37.36	$56.03	$82.55