Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.69 / $221.06 / $676.00	Facility		$199.69	$221.06	$676.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.69 / $212.17 / $268.77	Professional		$199.69	$212.17	$268.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.00 / $485.00 / $873.00	Facility		$337.00	$485.00	$873.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $84.67 / $96.12	Professional		$71.95	$84.67	$96.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.81 / $4,135.49 / $47,249.53	Facility		$283.81	$4,135.49	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $283.81 / $3,644.40 / $6,385.68	Professional		$283.81	$3,644.40	$6,385.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.26 / $254.26 / $254.26	Facility		$254.26	$254.26	$254.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,064.88 / $1,064.88 / $1,064.88	Professional		$1,064.88	$1,064.88	$1,064.88
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 $183.61 / $219.79 / $329.69	Professional		$183.61	$219.79	$329.69