Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.75 / $86.97 / $153.80	Facility		$75.75	$86.97	$153.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $93.55 / $126.46	Professional		$75.75	$93.55	$126.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.78 / $96.31 / $100.81	Professional		$60.78	$96.31	$100.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.10 / $206.32 / $257.89	Facility		$118.10	$206.32	$257.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $157.69 / $206.32 / $294.74	Professional		$157.69	$206.32	$294.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.70 / $172.70 / $172.70	Facility		$172.70	$172.70	$172.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $60.12 / $264.70	Professional		$60.12	$60.12	$264.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $147.37	Professional		$45.00	$45.00	$147.37
United Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $73.40 / $97.15	Professional		$49.01	$73.40	$97.15