Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.83 / $81.59 / $94.00	Facility		$57.83	$81.59	$94.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.83 / $103.40 / $123.33	Professional		$57.83	$103.40	$123.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.57 / $307.73 / $1,903.00	Professional		$261.57	$307.73	$1,903.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.76 / $1,428.82 / $47,249.53	Facility		$98.76	$1,428.82	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.06 / $1,470.84 / $2,222.03	Professional		$98.06	$1,470.84	$2,222.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.52 / $124.52 / $124.52	Facility		$124.52	$124.52	$124.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.89 / $484.89 / $484.89	Professional		$484.89	$484.89	$484.89
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 Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.25 / $230.85 / $337.21	Professional		$151.25	$230.85	$337.21