Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $41.69 / $50.12	Professional		$22.91	$41.69	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $34.67 / $37.15	Professional		$22.91	$34.67	$37.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $60.26 / $75.86	Facility		$45.71	$60.26	$75.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $87.10	Professional		$52.48	$63.10	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $40.74 / $288.40	Professional		$25.12	$40.74	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $45.71	Professional		$44.67	$44.67	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $26.30 / $34.67	Professional		$17.38	$26.30	$34.67