Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $324.00	Facility		$48.00	$48.00	$324.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $48.00 / $330.00	Professional		$38.00	$48.00	$330.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.00 / $306.00 / $407.40	Professional		$222.00	$306.00	$407.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.16 / $189.83 / $473.10	Facility		$71.16	$189.83	$473.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.13 / $155.93 / $244.07	Professional		$68.13	$155.93	$244.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $275.00 / $405.00	Professional		$200.00	$275.00	$405.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.44 / $130.44 / $270.00	Professional		$130.44	$130.44	$270.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $55.25 / $72.00	Professional		$42.00	$55.25	$72.00