Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $165.96 / $295.12	Facility		$100.00	$165.96	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $117.49	Professional		$81.28	$97.72	$117.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $123.03 / $128.82	Facility		$109.65	$123.03	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $851.14	Professional		$724.44	$851.14	$851.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $1,862.09 / $41,686.94	Facility		$144.54	$1,862.09	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $2,238.72	Professional		$134.90	$169.82	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $194.98 / $194.98	Facility		$79.43	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
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 $52.48 / $91.20 / $151.36	Professional		$52.48	$91.20	$151.36