Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $416.87 / $724.44	Facility		$245.47	$416.87	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $302.00	Professional		$199.53	$239.88	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $239.88	Professional		$204.17	$239.88	$239.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $4,466.84 / $41,686.94	Facility		$354.81	$4,466.84	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $5,623.41	Professional		$331.13	$426.58	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $478.63 / $478.63	Facility		$194.98	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
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 $125.89 / $181.97 / $302.00	Professional		$125.89	$181.97	$302.00