Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.74 / $260.74 / $554.05	Facility		$260.74	$260.74	$554.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.74 / $260.74 / $270.51	Professional		$260.74	$260.74	$270.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.29 / $284.68 / $543.20	Facility		$273.29	$284.68	$543.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.77 / $211.50 / $211.50	Professional		$179.77	$211.50	$211.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $427.73 / $646.79 / $62,999.37	Facility		$427.73	$646.79	$62,999.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $399.25 / $592.89	Professional		$277.02	$399.25	$592.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Facility		$277.02	$277.02	$277.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $401.88 / $401.88	Professional		$277.02	$401.88	$401.88
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 $271.60 / $271.60 / $271.60	Professional		$271.60	$271.60	$271.60