Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.89 / $174.80 / $887.71	Facility		$121.89	$174.80	$887.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.89 / $157.58 / $194.02	Professional		$121.89	$157.58	$194.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.00 / $456.00 / $750.00	Facility		$354.00	$456.00	$750.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.00 / $460.00 / $544.00	Professional		$345.00	$460.00	$544.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $321.69 / $321.69 / $321.69	Facility		$321.69	$321.69	$321.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $195.31 / $321.69 / $125,998.74	Professional		$195.31	$321.69	$125,998.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.99 / $301.99 / $306.00	Facility		$301.99	$301.99	$306.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $306.00 / $1,262.89	Professional		$306.00	$306.00	$1,262.89
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 $300.00 / $300.00 / $321.30	Professional		$300.00	$300.00	$321.30