Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $324.00	Facility		$48.00	$48.00	$324.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $48.00 / $360.00	Professional		$40.00	$48.00	$360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $726.00 / $900.00 / $1,350.00	Professional		$726.00	$900.00	$1,350.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.64 / $192.58 / $608.40	Facility		$72.64	$192.58	$608.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.16 / $173.40 / $391.84	Professional		$69.16	$173.40	$391.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $310.00 / $1,100.00	Professional		$200.00	$310.00	$1,100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.44 / $130.44 / $270.00	Professional		$130.44	$130.44	$270.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $55.25 / $73.00	Professional		$42.00	$55.25	$73.00