Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $239.88 / $416.87	Facility		$144.54	$239.88	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $169.82	Professional		$117.49	$138.04	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $173.78 / $181.97	Facility		$144.54	$173.78	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $75.86	Professional		$48.98	$57.54	$75.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $2,630.27 / $41,686.94	Facility		$208.93	$2,630.27	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $3,235.94	Professional		$190.55	$245.47	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $281.84 / $281.84	Facility		$114.82	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
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 $74.13 / $104.71 / $173.78	Professional		$74.13	$104.71	$173.78