Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.69 / $349.62 / $1,555.13	Facility		$286.69	$349.62	$1,555.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.74 / $349.62 / $349.62	Professional		$237.74	$349.62	$349.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.64 / $314.66 / $367.45	Facility		$217.64	$314.66	$367.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.72 / $279.68 / $505.19	Professional		$237.72	$279.68	$505.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $419.54 / $4,588.77 / $11,039.76	Facility		$419.54	$4,588.77	$11,039.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $402.06 / $489.47 / $6,485.86	Professional		$402.06	$489.47	$6,485.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.87 / $405.87 / $446.05	Professional		$405.87	$405.87	$446.05
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 $146.84 / $209.77 / $384.58	Professional		$146.84	$209.77	$384.58