Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.14 / $264.83 / $1,436.54	Facility		$255.14	$264.83	$1,436.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.02 / $258.37 / $322.95	Professional		$244.02	$258.37	$322.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.04 / $290.66 / $339.43	Facility		$201.04	$290.66	$339.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $6.83 / $12.64	Professional		$5.80	$6.83	$12.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $387.55 / $4,238.85 / $10,191.96	Facility		$387.55	$4,238.85	$10,191.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $371.40 / $452.14 / $5,987.78	Professional		$371.40	$452.14	$5,987.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.92 / $251.30 / $426.14	Facility		$209.92	$251.30	$426.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.58 / $1,556.67 / $1,556.67	Professional		$374.58	$1,556.67	$1,556.67
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 $150.72 / $215.31 / $355.26	Professional		$150.72	$215.31	$355.26