Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $158.00 / $889.60	Facility		$128.00	$158.00	$889.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $160.00 / $184.00	Professional		$128.00	$160.00	$184.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $13.28 / $13.28	Facility		$13.28	$13.28	$13.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $13.28 / $13.28	Professional		$11.28	$13.28	$13.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $2,625.00 / $6,311.17	Facility		$240.00	$2,625.00	$6,311.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $280.00 / $3,707.81	Professional		$230.00	$280.00	$3,707.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $155.62 / $263.89	Facility		$130.00	$155.62	$263.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.92 / $964.00 / $964.00	Professional		$231.92	$964.00	$964.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $100.00 / $100.00	Professional		$45.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $120.00 / $200.00	Professional		$84.00	$120.00	$200.00