Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.36 / $204.32 / $676.00	Facility		$182.36	$204.32	$676.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.36 / $195.24 / $243.37	Professional		$182.36	$195.24	$243.37
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 $158.58 / $209.41 / $237.71	Professional		$158.58	$209.41	$237.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $280.22 / $2,679.65 / $41,999.58	Facility		$280.22	$2,679.65	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $245.20 / $2,253.30 / $5,516.91	Professional		$245.20	$2,253.30	$5,516.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.70 / $223.70 / $223.70	Facility		$223.70	$223.70	$223.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $935.47 / $935.47	Professional		$270.00	$935.47	$935.47
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 $89.71 / $111.10 / $166.65	Professional		$89.71	$111.10	$166.65