Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $109.47 / $113.84	Facility		$75.79	$109.47	$113.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.74 / $120.83 / $137.86	Professional		$97.74	$120.83	$137.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.18 / $230.01 / $241.74	Facility		$143.18	$230.01	$241.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.59 / $125.23 / $137.44	Professional		$107.59	$125.23	$137.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.51 / $324.31 / $413.81	Facility		$172.51	$324.31	$413.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $219.84 / $297.42 / $379.52	Professional		$219.84	$297.42	$379.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.58 / $175.58 / $269.54	Facility		$175.58	$175.58	$269.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $175.58 / $1,115.44	Professional		$128.16	$175.58	$1,115.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.21 / $146.60 / $183.25	Professional		$120.21	$146.60	$183.25
United Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $116.62 / $160.29	Professional		$76.50	$116.62	$160.29