Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $269.15 / $478.63	Facility		$123.03	$269.15	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $158.49	Professional		$112.20	$125.89	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $199.53 / $208.93	Facility		$177.83	$199.53	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $85.11	Professional		$72.44	$85.11	$85.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $2,951.21 / $41,686.94	Facility		$234.42	$2,951.21	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $3,715.35	Professional		$218.78	$275.42	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $316.23 / $316.23	Facility		$128.82	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
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 $83.18 / $100.00 / $165.96	Professional		$83.18	$100.00	$165.96