Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $150.52 / $542.27	Facility		$99.97	$150.52	$542.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.31 / $99.97 / $150.52	Professional		$96.31	$99.97	$150.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.89 / $121.91 / $846.27	Facility		$75.89	$121.91	$846.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $634.70 / $846.27 / $846.27	Professional		$634.70	$846.27	$846.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.29 / $1,600.07 / $3,850.21	Facility		$146.29	$1,600.07	$3,850.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.19 / $170.67 / $3,368.93	Professional		$140.19	$170.67	$3,368.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.23 / $94.86 / $160.86	Facility		$79.23	$94.86	$160.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.41 / $587.61 / $587.61	Professional		$141.41	$587.61	$587.61
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 $52.79 / $90.31 / $150.52	Professional		$52.79	$90.31	$150.52