Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.39 / $275.39 / $275.39	Facility		$275.39	$275.39	$275.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $275.39 / $302.93	Professional		$275.39	$275.39	$302.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $298.77 / $324.76 / $324.76	Facility		$298.77	$324.76	$324.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.84 / $270.39 / $275.39	Professional		$229.84	$270.39	$275.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $421.00 / $589.40 / $55,999.44	Facility		$421.00	$589.40	$55,999.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $297.68 / $440.13 / $43,749.56	Professional		$297.68	$440.13	$43,749.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.39 / $302.39 / $302.39	Facility		$275.39	$302.39	$302.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $411.48 / $411.48	Professional		$302.39	$411.48	$411.48
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 Professional Modifier Low / Median / High Price $247.34 / $291.86 / $324.00	Professional		$247.34	$291.86	$324.00