Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $125.56 / $189.62	Facility		$89.00	$125.56	$189.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.00 / $125.56 / $191.37	Professional		$89.00	$125.56	$191.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.91 / $162.35 / $199.92	Professional		$116.91	$162.35	$199.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $235.83 / $3,200.19 / $45,499.55	Facility		$235.83	$3,200.19	$45,499.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.35 / $3,187.18 / $4,800.29	Professional		$213.35	$3,187.18	$4,800.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.24 / $194.24 / $194.24	Facility		$194.24	$194.24	$194.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $813.86 / $813.86 / $813.86	Professional		$813.86	$813.86	$813.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.87 / $236.38 / $295.47	Professional		$193.87	$236.38	$295.47