Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.56 / $178.54 / $1,345.80	Facility		$126.56	$178.54	$1,345.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.56 / $229.64 / $259.33	Professional		$126.56	$229.64	$259.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $674.39 / $674.39 / $888.67	Professional		$674.39	$674.39	$888.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $235.38 / $3,003.39 / $12,249.87	Facility		$235.38	$3,003.39	$12,249.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $228.83 / $352.40 / $5,406.11	Professional		$228.83	$352.40	$5,406.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.45 / $287.45 / $287.45	Facility		$287.45	$287.45	$287.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.06 / $1,202.06 / $1,202.06	Professional		$1,202.06	$1,202.06	$1,202.06
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 $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.07 / $336.21 / $489.76	Professional		$236.07	$336.21	$489.76