Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.41 / $306.70 / $1,689.57	Facility		$167.41	$306.70	$1,689.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.41 / $298.95 / $309.47	Professional		$167.41	$298.95	$309.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.21 / $329.62 / $411.52	Professional		$247.21	$329.62	$411.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $402.22 / $5,860.93 / $47,249.53	Facility		$402.22	$5,860.93	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $402.22 / $5,164.93 / $9,049.95	Professional		$402.22	$5,164.93	$9,049.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.89 / $360.89 / $360.89	Facility		$360.89	$360.89	$360.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.84 / $1,509.19 / $1,509.19	Professional		$229.84	$1,509.19	$1,509.19
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 $300.44 / $363.66 / $489.09	Professional		$300.44	$363.66	$489.09