Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.28 / $113.28 / $240.72	Facility		$113.28	$113.28	$240.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.28 / $113.28 / $117.53	Professional		$113.28	$113.28	$117.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.60 / $137.09 / $224.20	Facility		$131.60	$137.09	$224.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.81 / $116.25 / $116.25	Professional		$98.81	$116.25	$116.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47,999.52 / $47,999.52 / $47,999.52	Facility		$47,999.52	$47,999.52	$47,999.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $173.46 / $234.17	Professional		$120.36	$173.46	$234.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Facility		$120.36	$120.36	$120.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $179.83 / $179.83	Professional		$120.36	$179.83	$179.83
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 $118.00 / $118.00 / $118.00	Professional		$118.00	$118.00	$118.00