Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $776.25 / $1,202.26	Facility		$97.72	$776.25	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $524.81	Professional		$87.10	$141.25	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $275.42 / $275.42	Professional		$269.15	$275.42	$275.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $66.07 / $79,432.82	Facility		$17.38	$66.07	$79,432.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $24.55 / $93.33	Professional		$17.38	$24.55	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $147.91 / $229.09	Facility		$74.13	$147.91	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $457.09 / $457.09	Professional		$87.10	$457.09	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $64.57	Professional		$33.11	$44.67	$64.57