Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $159.94 / $711.46	Facility		$131.16	$159.94	$711.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.96 / $131.16 / $159.94	Professional		$127.96	$131.16	$159.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $9.64 / $9.64	Facility		$9.64	$9.64	$9.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $9.64 / $9.64	Professional		$8.19	$9.64	$9.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $159.94 / $255.92 / $41,999.58	Facility		$159.94	$255.92	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $175.95 / $223.93 / $2,963.96	Professional		$175.95	$223.93	$2,963.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.97 / $122.06 / $191.94	Facility		$103.97	$122.06	$191.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.91 / $229.73 / $770.96	Professional		$179.91	$229.73	$770.96
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 Facility Modifier Low / Median / High Price $159.94 / $159.94 / $159.94	Facility		$159.94	$159.94	$159.94
United Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $95.97 / $191.94	Professional		$67.18	$95.97	$191.94