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 $214.44 / $320.07 / $363.33	Professional		$214.44	$320.07	$363.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $280.22 / $2,902.32 / $45,499.55	Facility		$280.22	$2,902.32	$45,499.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $245.20 / $2,539.53 / $5,516.91	Professional		$245.20	$2,539.53	$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 Facility Modifier Low / Median / High Price $131.49 / $131.49 / $131.49	Facility		$131.49	$131.49	$131.49
United Facility/Professional Professional Modifier Low / Median / High Price $150.56 / $182.38 / $255.33	Professional		$150.56	$182.38	$255.33