Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $141.25 / $1,047.13	Facility		$100.00	$141.25	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $239.88	Professional		$138.04	$186.21	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $48.98 / $54.95	Professional		$41.69	$48.98	$54.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $3,890.45 / $46,773.51	Facility		$194.98	$3,890.45	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $3,090.30 / $5,370.32	Professional		$239.88	$3,090.30	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $346.74	Professional		$177.83	$208.93	$346.74