Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.68 / $55.68 / $55.68	Facility		$55.68	$55.68	$55.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $62.72 / $74.48	Professional		$32.00	$62.72	$74.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $55.05 / $100.91	Professional		$36.29	$55.05	$100.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.41 / $117.00 / $147.81	Facility		$72.41	$117.00	$147.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.34 / $112.82 / $188.03	Professional		$90.34	$112.82	$188.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.35 / $99.35 / $99.35	Facility		$99.35	$99.35	$99.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $37.20 / $98.34	Professional		$37.20	$37.20	$98.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $41.69 / $66.86	Professional		$25.78	$41.69	$66.86