Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $234.42 / $416.87	Facility		$141.25	$234.42	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $173.78	Professional		$114.82	$141.25	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $302.00	Professional		$151.36	$199.53	$302.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $3,090.30 / $46,773.51	Facility		$173.78	$3,090.30	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $3,235.94	Professional		$186.21	$234.42	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $275.42 / $275.42	Facility		$112.20	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $831.76 / $831.76	Professional		$194.98	$831.76	$831.76
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 $72.44 / $104.71 / $173.78	Professional		$72.44	$104.71	$173.78