Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.84 / $205.63 / $1,098.32	Facility		$158.84	$205.63	$1,098.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.03 / $197.54 / $205.63	Professional		$153.03	$197.54	$205.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.71 / $222.23 / $259.51	Facility		$153.71	$222.23	$259.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $86.09 / $182.94	Professional		$45.77	$86.09	$182.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $246.92 / $407.42 / $41,999.58	Facility		$246.92	$407.42	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $271.61 / $345.69 / $4,577.92	Professional		$271.61	$345.69	$4,577.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.03 / $188.43 / $296.30	Facility		$130.03	$188.43	$296.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.74 / $354.66 / $1,190.15	Professional		$277.74	$354.66	$1,190.15
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 $83.88 / $123.38 / $213.08	Professional		$83.88	$123.38	$213.08