Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Facility		$67.27	$67.27	$67.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $67.95	Professional		$67.27	$67.27	$67.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Professional		$67.27	$67.27	$67.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $94.18 / $107.63	Facility		$67.27	$94.18	$107.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $74.00 / $97.54	Professional		$67.27	$74.00	$97.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $176.32 / $176.32	Facility		$67.27	$176.32	$176.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $96.89	Professional		$67.27	$67.27	$96.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $68.97	Professional		$45.00	$45.00	$68.97
United Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $72.05	Professional		$67.27	$67.27	$72.05