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 / $323.59	Professional		$213.80	$263.03	$323.59
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 $323.59 / $5,754.40 / $46,773.51	Facility		$323.59	$5,754.40	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $6,025.60	Professional		$346.74	$436.52	$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 $467.74 / $1,548.82 / $1,548.82	Professional		$467.74	$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 $134.90 / $213.80 / $354.81	Professional		$134.90	$213.80	$354.81