Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.68 / $116.96 / $634.40	Facility		$112.68	$116.96	$634.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $114.10 / $142.63	Professional		$99.84	$114.10	$142.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.79 / $128.37 / $149.90	Facility		$88.79	$128.37	$149.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $5.92 / $5.92	Professional		$5.03	$5.92	$5.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $171.16 / $1,872.02 / $4,503.60	Facility		$171.16	$1,872.02	$4,503.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.02 / $199.68 / $2,645.87	Professional		$164.02	$199.68	$2,645.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.71 / $110.98 / $188.20	Facility		$92.71	$110.98	$188.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.60 / $687.48 / $687.48	Professional		$165.60	$687.48	$687.48
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 $59.90 / $85.58 / $142.63	Professional		$59.90	$85.58	$142.63