Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.22 / $47.70 / $49.46	Facility		$47.22	$47.70	$49.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.53 / $49.46 / $54.76	Professional		$42.53	$49.46	$54.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.77 / $92.81 / $97.54	Facility		$57.77	$92.81	$97.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.03 / $72.64 / $72.64	Professional		$47.03	$72.64	$72.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.61 / $130.86 / $161.96	Facility		$69.61	$130.86	$161.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.17 / $116.01 / $153.13	Professional		$88.17	$116.01	$153.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $53.85 / $112.17	Facility		$53.85	$53.85	$112.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $53.85 / $470.14	Professional		$39.31	$53.85	$470.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.56 / $72.64 / $90.80	Professional		$59.56	$72.64	$90.80
United Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $46.30 / $67.45	Professional		$30.87	$46.30	$67.45