Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.88 / $173.03 / $769.62	Facility		$141.88	$173.03	$769.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $141.88 / $173.03	Professional		$136.69	$141.88	$173.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $200.00 / $304.00	Professional		$150.00	$200.00	$304.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $285.50 / $41,999.58	Facility		$173.03	$285.50	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.33 / $242.24 / $3,209.94	Professional		$190.33	$242.24	$3,209.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.47 / $132.04 / $207.64	Facility		$112.47	$132.04	$207.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.77 / $248.83 / $834.00	Professional		$151.77	$248.83	$834.00
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 $72.67 / $103.82 / $190.33	Professional		$72.67	$103.82	$190.33