Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Facility		$68.48	$68.48	$68.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $69.17	Professional		$68.48	$68.48	$69.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $68.48 / $68.48	Professional		$63.57	$68.48	$68.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $95.89 / $109.58	Facility		$68.48	$95.89	$109.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $75.34 / $99.31	Professional		$68.48	$75.34	$99.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $85.00 / $85.00	Facility		$68.48	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $96.92	Professional		$68.48	$68.48	$96.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $89.04	Professional		$68.48	$68.48	$89.04
United Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $68.48 / $73.34	Professional		$68.48	$68.48	$73.34