Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $389.05 / $676.08	Facility		$229.09	$389.05	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $275.42	Professional		$190.55	$223.87	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $229.09	Professional		$194.98	$229.09	$229.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $4,168.69 / $41,686.94	Facility		$338.84	$4,168.69	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $5,248.07	Professional		$309.03	$398.11	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $457.09 / $457.09	Facility		$181.97	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,348.96 / $1,348.96	Professional		$331.13	$1,348.96	$1,348.96
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 $117.49 / $169.82 / $281.84	Professional		$117.49	$169.82	$281.84