Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $62.41 / $62.41	Facility		$62.41	$62.41	$62.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $63.04	Professional		$62.41	$62.41	$63.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $62.41	Professional		$62.41	$62.41	$62.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $87.37 / $99.86	Facility		$62.41	$87.37	$99.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $68.65 / $90.49	Professional		$62.41	$68.65	$90.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $89.11 / $89.11	Facility		$62.41	$89.11	$89.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $88.32	Professional		$62.41	$62.41	$88.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.20 / $63.30 / $82.29	Professional		$62.20	$63.30	$82.29
United Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $66.84	Professional		$62.41	$62.41	$66.84