Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.97 / $75.90 / $78.94	Facility		$57.97	$75.90	$78.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.77 / $77.88 / $88.69	Professional		$67.77	$77.88	$88.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.28 / $159.47 / $167.61	Facility		$99.28	$159.47	$167.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $95.79 / $96.39	Professional		$74.59	$95.79	$96.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.61 / $223.27 / $271.87	Facility		$119.61	$223.27	$271.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.47 / $199.35 / $263.14	Professional		$159.47	$199.35	$263.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.66 / $99.66 / $206.53	Facility		$99.66	$99.66	$206.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $99.66 / $865.62	Professional		$72.75	$99.66	$865.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $101.64 / $127.05	Professional		$83.34	$101.64	$127.05
United Facility/Professional Professional Modifier Low / Median / High Price $53.04 / $79.56 / $122.61	Professional		$53.04	$79.56	$122.61