Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.10 / $143.34 / $777.57	Facility		$138.10	$143.34	$777.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $139.85 / $174.81	Professional		$122.37	$139.85	$174.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.92 / $157.33 / $183.73	Facility		$69.92	$157.33	$183.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.43 / $69.92 / $148.58	Professional		$59.43	$69.92	$148.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $209.77 / $2,294.38 / $5,514.85	Facility		$209.77	$2,294.38	$5,514.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $201.03 / $244.73 / $3,239.97	Professional		$201.03	$244.73	$3,239.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.63 / $136.02 / $230.67	Facility		$113.63	$136.02	$230.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.73 / $842.58 / $842.58	Professional		$202.73	$842.58	$842.58
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 $73.42 / $104.89 / $174.81	Professional		$73.42	$104.89	$174.81