Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $446.68 / $776.25	Facility		$263.03	$446.68	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $316.23	Professional		$213.80	$263.03	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $323.59 / $338.84	Facility		$288.40	$323.59	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.76 / $6.76	Professional		$5.75	$6.76	$6.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $4,897.79 / $41,686.94	Facility		$380.19	$4,897.79	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $6,025.60	Professional		$354.81	$457.09	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $512.86 / $512.86	Facility		$208.93	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
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 $141.25 / $213.80 / $354.81	Professional		$141.25	$213.80	$354.81