Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $380.19 / $660.69	Facility		$223.87	$380.19	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $263.03	Professional		$173.78	$218.78	$263.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $109.65	Professional		$93.33	$109.65	$109.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $4,168.69 / $41,686.94	Facility		$323.59	$4,168.69	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $5,128.61	Professional		$302.00	$389.05	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $436.52 / $436.52	Facility		$177.83	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,318.26 / $1,318.26	Professional		$316.23	$1,318.26	$1,318.26
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 $114.82 / $147.91 / $245.47	Professional		$114.82	$147.91	$245.47