Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $194.98 / $338.84	Facility		$114.82	$194.98	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $138.04	Professional		$95.50	$114.82	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $141.25 / $151.36	Facility		$128.82	$141.25	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $2,089.30 / $41,686.94	Facility		$169.82	$2,089.30	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $2,630.27	Professional		$158.49	$199.53	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $229.09 / $229.09	Facility		$93.33	$229.09	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
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 $60.26 / $85.11 / $141.25	Professional		$60.26	$85.11	$141.25