Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.78 / $238.46 / $506.72	Facility		$233.78	$238.46	$506.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $247.40	Professional		$238.46	$238.46	$247.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $264.20 / $287.18 / $549.98	Facility		$264.20	$287.18	$549.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.50 / $248.39 / $248.39	Professional		$212.50	$248.39	$248.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $492.93 / $3,638.00 / $55,999.44	Facility		$492.93	$3,638.00	$55,999.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $352.09 / $404.91 / $47,249.53	Professional		$352.09	$404.91	$47,249.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.39 / $248.39 / $253.36	Facility		$248.39	$248.39	$253.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.36 / $253.36 / $253.36	Professional		$253.36	$253.36	$253.36
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 $248.39 / $248.39 / $266.02	Professional		$248.39	$248.39	$266.02