Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $218.78 / $380.19	Facility		$131.83	$218.78	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $154.88	Professional		$107.15	$128.82	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Facility		$9.55	$9.55	$9.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $10.23	Professional		$9.55	$9.55	$10.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $2,398.83 / $46,773.51	Facility		$158.49	$2,398.83	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $2,951.21	Professional		$169.82	$213.80	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $257.04 / $257.04	Facility		$104.71	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $776.25 / $776.25	Professional		$229.09	$776.25	$776.25
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 $67.61 / $95.50 / $158.49	Professional		$67.61	$95.50	$158.49