Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.65 / $105.98 / $109.91	Facility		$61.65	$105.98	$109.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.33 / $99.69 / $109.91	Professional		$88.33	$99.69	$109.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.35 / $206.19 / $216.71	Facility		$128.35	$206.19	$216.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.98 / $99.32 / $99.32	Professional		$92.98	$99.32	$99.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.63 / $278.36 / $350.31	Facility		$154.63	$278.36	$350.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $195.88 / $247.43 / $340.21	Professional		$195.88	$247.43	$340.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.06 / $120.06 / $241.63	Facility		$120.06	$120.06	$241.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $120.06 / $905.05	Professional		$87.64	$120.06	$905.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.75 / $131.41 / $164.26	Professional		$107.75	$131.41	$164.26
United Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $92.88 / $135.94	Professional		$65.20	$92.88	$135.94