Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.78 / $1,105.38 / $1,105.38	Facility		$203.78	$1,105.38	$1,105.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.32 / $198.81 / $198.81	Professional		$196.32	$198.81	$198.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.20 / $66.20 / $66.20	Facility		$66.20	$66.20	$66.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.83 / $89.11 / $89.11	Professional		$66.83	$89.11	$89.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $298.20 / $3,261.69 / $7,843.33	Facility		$298.20	$3,261.69	$7,843.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $285.79 / $347.91 / $4,607.95	Professional		$285.79	$347.91	$4,607.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.53 / $193.37 / $483.74	Facility		$161.53	$193.37	$483.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.24 / $1,197.82 / $1,197.82	Professional		$288.24	$1,197.82	$1,197.82
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 $104.37 / $149.11 / $248.51	Professional		$104.37	$149.11	$248.51