Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.12 / $225.36 / $1,222.42	Facility		$217.12	$225.36	$1,222.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.56 / $219.86 / $252.84	Professional		$172.56	$219.86	$252.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.93 / $109.93 / $109.93	Facility		$109.93	$109.93	$109.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.44 / $109.93 / $109.93	Professional		$93.44	$109.93	$109.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $329.80 / $3,607.14 / $8,680.69	Facility		$329.80	$3,607.14	$8,680.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.05 / $384.76 / $5,099.89	Professional		$316.05	$384.76	$5,099.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.64 / $213.85 / $362.64	Facility		$178.64	$213.85	$362.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.12 / $350.70 / $1,324.68	Professional		$206.12	$350.70	$1,324.68
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 $110.93 / $147.91 / $271.17	Professional		$110.93	$147.91	$271.17