Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $512.86 / $891.25	Facility		$309.03	$512.86	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $363.08	Professional		$251.19	$302.00	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $131.83	Professional		$112.20	$131.83	$131.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $5,623.41 / $41,686.94	Facility		$446.68	$5,623.41	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $6,918.31	Professional		$416.87	$524.81	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $602.56 / $602.56	Facility		$245.47	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,819.70 / $1,819.70	Professional		$436.52	$1,819.70	$1,819.70
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 $158.49 / $223.87 / $371.54	Professional		$158.49	$223.87	$371.54