Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $288.40 / $831.76	Facility		$275.42	$288.40	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $281.84 / $338.84	Professional		$234.42	$281.84	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $346.74 / $371.54	Facility		$316.23	$346.74	$371.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $5,128.61 / $41,686.94	Facility		$416.87	$5,128.61	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $6,456.54	Professional		$380.19	$489.78	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $446.68	Professional		$407.38	$407.38	$446.68
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 $147.91 / $208.93 / $346.74	Professional		$147.91	$208.93	$346.74