Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $181.97 / $323.59	Facility		$109.65	$181.97	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $128.82	Professional		$89.13	$107.15	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $281.84	Professional		$239.88	$281.84	$281.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $2,041.74 / $41,686.94	Facility		$158.49	$2,041.74	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $2,511.89	Professional		$147.91	$186.21	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $213.80 / $213.80	Facility		$87.10	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
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 $56.23 / $81.28 / $134.90	Professional		$56.23	$81.28	$134.90