Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $524.81 / $912.01	Facility		$316.23	$524.81	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $229.09 / $363.08	Professional		$134.90	$229.09	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $33.11	Professional		$28.18	$33.11	$33.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $5,754.40 / $41,686.94	Facility		$457.09	$5,754.40	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $7,079.46	Professional		$426.58	$537.03	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $616.60 / $616.60	Facility		$251.19	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
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 $114.82 / $114.82 / $190.55	Professional		$114.82	$114.82	$190.55