Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $275.42 / $275.42	Facility		$218.78	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $275.42	Professional		$213.80	$275.42	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $223.87	Professional		$6.31	$6.31	$223.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42,657.95 / $42,657.95 / $42,657.95	Professional		$42,657.95	$42,657.95	$42,657.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $44.67	Professional		$30.20	$30.20	$44.67