Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.69 / $320.42 / $1,738.06	Facility		$308.69	$320.42	$1,738.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.69 / $320.42 / $390.75	Professional		$308.69	$320.42	$390.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.39 / $6.39 / $6.39	Facility		$6.39	$6.39	$6.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.43 / $6.39 / $6.39	Professional		$5.43	$6.39	$6.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $390.75 / $625.20 / $41,999.58	Facility		$390.75	$625.20	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $429.83 / $547.04 / $7,247.68	Professional		$429.83	$547.04	$7,247.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.99 / $298.18 / $468.90	Facility		$253.99	$298.18	$468.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.52 / $561.16 / $1,883.42	Professional		$439.52	$561.16	$1,883.42
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 $164.12 / $234.45 / $390.75	Professional		$164.12	$234.45	$390.75