Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.60 / $153.60 / $326.39	Facility		$153.60	$153.60	$326.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $153.60 / $159.36	Professional		$153.60	$153.60	$159.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.13 / $188.68 / $188.80	Facility		$181.13	$188.68	$188.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $160.00 / $160.00	Professional		$136.00	$160.00	$160.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $317.52 / $369.79 / $55,999.44	Facility		$317.52	$369.79	$55,999.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $235.20 / $349.27	Professional		$163.19	$235.20	$349.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Facility		$163.19	$163.19	$163.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $243.84 / $243.84	Professional		$163.19	$243.84	$243.84
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 $160.00 / $160.00 / $160.00	Professional		$160.00	$160.00	$160.00