Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.80 / $213.61 / $1,158.70	Facility		$205.80	$213.61	$1,158.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.35 / $208.40 / $260.50	Professional		$182.35	$208.40	$260.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.05 / $57.05 / $57.05	Facility		$57.05	$57.05	$57.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.49 / $57.05 / $57.05	Professional		$48.49	$57.05	$57.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $312.60 / $3,419.07 / $8,220.95	Facility		$312.60	$3,419.07	$8,220.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $299.58 / $364.70 / $4,829.81	Professional		$299.58	$364.70	$4,829.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.33 / $202.70 / $343.74	Facility		$169.33	$202.70	$343.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.42 / $1,255.60 / $1,255.60	Professional		$302.42	$1,255.60	$1,255.60
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 $109.41 / $156.30 / $260.50	Professional		$109.41	$156.30	$260.50