Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.99 / $134.13 / $596.59	Facility		$109.99	$134.13	$596.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.89 / $107.30 / $134.13	Professional		$93.89	$107.30	$134.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.68 / $279.68 / $279.68	Facility		$279.68	$279.68	$279.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.76 / $279.68 / $355.31	Professional		$209.76	$279.68	$355.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $1,760.46 / $4,238.29	Facility		$160.96	$1,760.46	$4,238.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.25 / $187.78 / $3,708.50	Professional		$154.25	$187.78	$3,708.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.18 / $104.37 / $176.98	Facility		$87.18	$104.37	$176.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.01 / $646.51 / $646.51	Professional		$156.01	$646.51	$646.51
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 $56.33 / $80.48 / $134.13	Professional		$56.33	$80.48	$134.13