Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.19 / $100.46 / $676.00	Facility		$83.19	$100.46	$676.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.12 / $107.66 / $134.06	Professional		$91.12	$107.66	$134.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.00 / $487.00 / $890.00	Facility		$337.00	$487.00	$890.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $84.67 / $87.21	Professional		$74.13	$84.67	$87.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.96 / $103.63 / $85,656.64	Facility		$20.96	$103.63	$85,656.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $27.51 / $104.13	Professional		$21.82	$27.51	$104.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.40 / $123.40 / $123.40	Facility		$123.40	$123.40	$123.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.49 / $148.61 / $509.81	Professional		$89.49	$148.61	$509.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $45.00 / $67.59	Professional		$32.34	$45.00	$67.59