Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $338.84 / $588.84	Facility		$204.17	$338.84	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $245.47	Professional		$165.96	$199.53	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $245.47 / $257.04	Facility		$223.87	$245.47	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $31.62 / $31.62	Professional		$26.92	$31.62	$31.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $4,365.16 / $46,773.51	Facility		$245.47	$4,365.16	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $4,570.88	Professional		$263.03	$331.13	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $398.11 / $398.11	Facility		$162.18	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,202.26 / $1,202.26	Professional		$281.84	$1,202.26	$1,202.26
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 $104.71 / $147.91 / $245.47	Professional		$104.71	$147.91	$245.47