Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $102.33	Facility		$100.00	$100.00	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $169.82	Professional		$85.11	$114.82	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $199.53 / $208.93	Facility		$177.83	$199.53	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $123.03	Professional		$91.20	$112.20	$123.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $263.03 / $338.84	Facility		$144.54	$263.03	$338.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $309.03	Professional		$194.98	$245.47	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $338.84 / $338.84	Facility		$120.23	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $177.83 / $1,000.00	Professional		$87.10	$177.83	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $165.96	Professional		$102.33	$128.82	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $102.33 / $120.23	Facility		$93.33	$102.33	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $154.88	Professional		$64.57	$97.72	$154.88