Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.76 / $92.25 / $592.54	Facility		$74.76	$92.25	$592.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $92.25 / $278.85	Professional		$74.76	$92.25	$278.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.63 / $400.84 / $2,764.80	Professional		$300.63	$400.84	$2,764.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.86 / $185.86 / $185.86	Facility		$185.86	$185.86	$185.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.85 / $172.59 / $580.42	Professional		$112.85	$172.59	$580.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $128.69 / $232.02	Facility		$128.69	$128.69	$232.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $128.69 / $729.65	Professional		$128.69	$128.69	$729.65
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 $259.31 / $259.31 / $259.31	Professional		$259.31	$259.31	$259.31