Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $141.25 / $165.96	Professional		$77.62	$141.25	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $123.03	Professional		$87.10	$114.82	$123.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $190.55 / $251.19	Facility		$144.54	$190.55	$251.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $199.53 / $288.40	Professional		$173.78	$199.53	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $933.25	Professional		$81.28	$125.89	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $102.33	Professional		$44.67	$44.67	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $120.23	Professional		$56.23	$87.10	$120.23