Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $537.03 / $933.25	Facility		$323.59	$537.03	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $389.05	Professional		$263.03	$316.23	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $48.98	Professional		$38.90	$45.71	$48.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $5,888.44 / $46,773.51	Facility		$389.05	$5,888.44	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $7,244.36	Professional		$416.87	$524.81	$7,244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $630.96 / $630.96	Facility		$251.19	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,862.09 / $1,862.09	Professional		$562.34	$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 $165.96 / $234.42 / $389.05	Professional		$165.96	$234.42	$389.05