Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.07 / $202.47 / $1,098.32	Facility		$195.07	$202.47	$1,098.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.07 / $202.47 / $246.92	Professional		$195.07	$202.47	$246.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.71 / $222.23 / $259.51	Facility		$153.71	$222.23	$259.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $31.92 / $40.01	Professional		$23.94	$31.92	$40.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $246.92 / $407.42 / $41,999.58	Facility		$246.92	$407.42	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $271.61 / $345.69 / $4,577.92	Professional		$271.61	$345.69	$4,577.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.50 / $188.43 / $296.30	Facility		$160.50	$188.43	$296.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.74 / $354.66 / $1,190.15	Professional		$277.74	$354.66	$1,190.15
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 $103.71 / $148.15 / $271.61	Professional		$103.71	$148.15	$271.61