Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.22 / $112.54 / $239.16	Facility		$111.22	$112.54	$239.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.54 / $112.54 / $116.76	Professional		$112.54	$112.54	$116.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.70 / $114.28 / $234.48	Facility		$109.70	$114.28	$234.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $90.00 / $90.00	Professional		$76.50	$90.00	$90.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $182.80 / $275.88 / $62,999.37	Facility		$182.80	$275.88	$62,999.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $170.30 / $252.89	Professional		$119.58	$170.30	$252.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.17 / $119.58 / $119.58	Facility		$118.17	$119.58	$119.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $168.95 / $168.95	Professional		$119.58	$168.95	$168.95
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 $117.24 / $117.24 / $117.24	Professional		$117.24	$117.24	$117.24