Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $338.84 / $602.56	Facility		$204.17	$338.84	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $239.88	Professional		$165.96	$199.53	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $89.13	Professional		$75.86	$89.13	$89.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $3,715.35 / $41,686.94	Facility		$295.12	$3,715.35	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $4,570.88	Professional		$275.42	$346.74	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $478.63 / $478.63	Facility		$162.18	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
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 $104.71 / $147.91 / $251.19	Professional		$104.71	$147.91	$251.19