Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $116.53 / $116.53	Facility		$116.53	$116.53	$116.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.04 / $145.04 / $145.04	Professional		$145.04	$145.04	$145.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.07	Professional		$0.02	$0.02	$0.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12,674.97 / $15,819.06 / $72,899.27	Facility		$12,674.97	$15,819.06	$72,899.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75,936.74 / $75,936.74 / $78,974.21	Professional		$75,936.74	$75,936.74	$78,974.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $228.00 / $228.00	Professional		$228.00	$228.00	$228.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $876.00 / $3,218.00	Facility		$135.00	$876.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $10.90 / $10.90	Professional		$10.90	$10.90	$10.90