Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.73 / $88.73 / $88.73	Facility		$88.73	$88.73	$88.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $109.29 / $137.22	Professional		$54.99	$109.29	$137.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.23 / $87.72 / $166.59	Professional		$63.23	$87.72	$166.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.45 / $186.44 / $254.97	Facility		$124.45	$186.44	$254.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $146.49 / $184.06 / $299.63	Professional		$146.49	$184.06	$299.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.55 / $180.55 / $180.55	Facility		$180.55	$180.55	$180.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $63.92 / $156.74	Professional		$63.92	$63.92	$156.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $83.42	Professional		$45.00	$45.00	$83.42
United Facility/Professional Professional Modifier Low / Median / High Price $44.29 / $66.44 / $88.55	Professional		$44.29	$66.44	$88.55