Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.99 / $738.00 / $900.00	Facility		$87.99	$738.00	$900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.99 / $96.73 / $494.18	Professional		$87.99	$96.73	$494.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $706.00 / $1,000.00	Facility		$510.00	$706.00	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.97 / $269.52 / $277.61	Professional		$235.97	$269.52	$277.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.72 / $90.53 / $85,049.15	Facility		$18.72	$90.53	$85,049.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $24.56 / $166.32	Professional		$18.70	$24.56	$166.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.74 / $107.74 / $107.74	Facility		$107.74	$107.74	$107.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $138.99 / $452.77	Professional		$78.12	$138.99	$452.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $45.00 / $67.59	Professional		$32.34	$45.00	$67.59