Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.40 / $93.83 / $508.96	Facility		$90.40	$93.83	$508.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $91.54 / $114.43	Professional		$80.09	$91.54	$114.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $102.99 / $120.27	Facility		$71.23	$102.99	$120.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.85 / $129.13 / $155.51	Professional		$96.85	$129.13	$155.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.32 / $1,501.89 / $3,615.12	Facility		$137.32	$1,501.89	$3,615.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.59 / $160.19 / $2,123.88	Professional		$131.59	$160.19	$2,123.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $89.04 / $150.99	Facility		$74.38	$89.04	$150.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.06 / $551.54 / $551.54	Professional		$133.06	$551.54	$551.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $68.66 / $114.43	Professional		$48.06	$68.66	$114.43