Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.20 / $187.20 / $397.80	Facility		$187.20	$187.20	$397.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $187.20 / $194.22	Professional		$187.20	$187.20	$194.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.25 / $243.75 / $333.26	Facility		$224.25	$243.75	$333.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.75 / $195.00 / $206.70	Professional		$165.75	$195.00	$206.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $390.67 / $52,149.48 / $69,999.30	Facility		$390.67	$52,149.48	$69,999.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $206.70 / $206.70	Facility		$85.00	$206.70	$206.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.28 / $206.70 / $206.70	Professional		$161.28	$206.70	$206.70
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 $234.00 / $234.00 / $234.00	Professional		$234.00	$234.00	$234.00