Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $79.43	Professional		$64.57	$64.57	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $72.44	Professional		$66.07	$66.07	$72.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $104.71	Facility		$66.07	$66.07	$104.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $70.79 / $91.20	Professional		$66.07	$70.79	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $151.36 / $151.36	Facility		$66.07	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $281.84	Professional		$66.07	$66.07	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $91.20	Professional		$44.67	$44.67	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $125.89 / $151.36	Professional		$114.82	$125.89	$151.36