Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $594.00	Facility		$48.00	$48.00	$594.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $48.00 / $660.00	Professional		$40.00	$48.00	$660.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.00 / $561.00 / $1,451.00	Professional		$407.00	$561.00	$1,451.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.83 / $271.18 / $720.00	Facility		$109.83	$271.18	$720.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.21 / $240.45 / $366.09	Professional		$108.21	$240.45	$366.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $550.00 / $810.00	Professional		$400.00	$550.00	$810.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.62 / $207.62 / $432.00	Professional		$207.62	$207.62	$432.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $55.00 / $72.00	Professional		$42.00	$55.00	$72.00