Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.57 / $54.47 / $56.65	Facility		$47.57	$54.47	$56.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.63 / $55.26 / $60.68	Professional		$48.63	$55.26	$60.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.25 / $114.45 / $120.29	Facility		$71.25	$114.45	$120.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.54 / $61.08 / $61.08	Professional		$53.54	$61.08	$61.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.84 / $159.38 / $183.30	Facility		$85.84	$159.38	$183.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.73 / $142.31 / $188.84	Professional		$108.73	$142.31	$188.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.38 / $90.38 / $134.12	Facility		$90.38	$90.38	$134.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $90.38 / $547.94	Professional		$76.81	$90.38	$547.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.17 / $63.63 / $76.48	Professional		$50.17	$63.63	$76.48
United Facility/Professional Professional Modifier Low / Median / High Price $38.07 / $57.10 / $78.18	Professional		$38.07	$57.10	$78.18