Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.41 / $75.16 / $407.72	Facility		$72.41	$75.16	$407.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $73.33 / $91.66	Professional		$72.41	$73.33	$91.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.06 / $82.49 / $96.33	Facility		$57.06	$82.49	$96.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $578.00 / $800.00 / $800.00	Professional		$578.00	$800.00	$800.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.99 / $962.43 / $2,890.08	Facility		$109.99	$962.43	$2,890.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.41 / $128.32 / $2,528.82	Professional		$105.41	$128.32	$2,528.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.58 / $71.31 / $120.95	Facility		$59.58	$71.31	$120.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.37 / $441.80 / $441.80	Professional		$106.37	$441.80	$441.80
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 $39.69 / $67.90 / $113.17	Professional		$39.69	$67.90	$113.17