Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.45 / $220.57 / $868.37	Facility		$64.45	$220.57	$868.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $85.03 / $868.37	Professional		$39.67	$85.03	$868.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.51 / $195.40 / $280.50	Professional		$153.51	$195.40	$280.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.32 / $762.35 / $47,249.53	Facility		$52.32	$762.35	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $671.82 / $1,177.16	Professional		$52.12	$671.82	$1,177.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.93 / $140.93 / $140.93	Facility		$140.93	$140.93	$140.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $343.18 / $343.18	Professional		$29.90	$343.18	$343.18
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 $833.93 / $1,065.55 / $1,406.62	Professional		$833.93	$1,065.55	$1,406.62