Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $270.00	Facility		$48.00	$48.00	$270.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $48.00 / $300.00	Professional		$40.00	$48.00	$300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $255.00 / $339.50	Professional		$185.00	$255.00	$339.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.21 / $158.32 / $394.25	Facility		$57.21	$158.32	$394.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.59 / $133.58 / $207.80	Professional		$55.59	$133.58	$207.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $220.00 / $324.00	Professional		$160.00	$220.00	$324.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.72 / $104.72 / $216.00	Professional		$104.72	$104.72	$216.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $52.25 / $70.50	Professional		$42.00	$52.25	$70.50