Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.94 / $175.94 / $373.86	Facility		$175.94	$175.94	$373.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.94 / $175.94 / $182.53	Professional		$175.94	$175.94	$182.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.25 / $1.30 / $216.25	Facility		$1.25	$1.30	$216.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $183.26 / $183.26	Professional		$6.33	$183.26	$183.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.93 / $11.92 / $19.86	Facility		$9.93	$11.92	$19.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $9.93 / $15.29	Professional		$9.93	$9.93	$15.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Facility		$186.93	$186.93	$186.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.49 / $186.93 / $279.30	Professional		$5.49	$186.93	$279.30
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 $183.26 / $183.26 / $183.26	Professional		$183.26	$183.26	$183.26