Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.63 / $67.63 / $67.63	Facility		$67.63	$67.63	$67.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $73.05 / $95.18	Professional		$40.64	$73.05	$95.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $66.87 / $126.99	Professional		$42.26	$66.87	$126.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.16 / $137.79 / $190.28	Facility		$92.16	$137.79	$190.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $134.57 / $221.45	Professional		$111.66	$134.57	$221.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.14 / $124.14 / $124.14	Facility		$124.14	$124.14	$124.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $47.24 / $119.48	Professional		$47.24	$47.24	$119.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $56.00	Professional		$45.00	$45.00	$56.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $49.10 / $66.93	Professional		$32.74	$49.10	$66.93