Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.07 / $247.11 / $1,340.40	Facility		$238.07	$247.11	$1,340.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.95 / $241.08 / $301.35	Professional		$210.95	$241.08	$301.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.08 / $241.08 / $241.08	Facility		$241.08	$241.08	$241.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $241.08 / $241.08	Professional		$120.54	$241.08	$241.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $361.62 / $3,955.22 / $9,518.04	Facility		$361.62	$3,955.22	$9,518.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $346.55 / $421.89 / $5,591.85	Professional		$346.55	$421.89	$5,591.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.88 / $234.48 / $397.64	Facility		$195.88	$234.48	$397.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.97 / $1,452.51 / $1,452.51	Professional		$349.97	$1,452.51	$1,452.51
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 $126.57 / $180.81 / $301.35	Professional		$126.57	$180.81	$301.35