Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.52 / $246.52 / $1,812.23	Facility		$246.52	$246.52	$1,812.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.26 / $246.52 / $321.87	Professional		$123.26	$246.52	$321.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $14.50 / $44.71	Professional		$12.32	$14.50	$44.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $488.92 / $5,347.52 / $12,867.84	Facility		$488.92	$5,347.52	$12,867.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $468.54 / $570.40 / $7,559.86	Professional		$468.54	$570.40	$7,559.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.83 / $317.02 / $537.60	Facility		$264.83	$317.02	$537.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.03 / $1,963.81 / $1,963.81	Professional		$473.03	$1,963.81	$1,963.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $100.00 / $100.00	Professional		$45.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.93 / $147.91 / $246.52	Professional		$110.93	$147.91	$246.52