Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.31 / $151.86 / $823.77	Facility		$146.31	$151.86	$823.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $148.16 / $185.20	Professional		$129.63	$148.16	$185.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.90 / $228.90 / $228.90	Facility		$228.90	$228.90	$228.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.56 / $228.90 / $228.90	Professional		$194.56	$228.90	$228.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.24 / $2,430.75 / $5,851.81	Facility		$222.24	$2,430.75	$5,851.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $212.98 / $259.27 / $3,437.93	Professional		$212.98	$259.27	$3,437.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.38 / $144.10 / $244.37	Facility		$120.38	$144.10	$244.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.90 / $236.55 / $892.66	Professional		$138.90	$236.55	$892.66
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 Facility Modifier Low / Median / High Price $185.20 / $185.20 / $185.20	Facility		$185.20	$185.20	$185.20
United Facility/Professional Professional Modifier Low / Median / High Price $80.19 / $111.12 / $203.72	Professional		$80.19	$111.12	$203.72