Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $286.62	Facility		$134.88	$134.88	$286.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $139.94	Professional		$134.88	$134.88	$139.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.38 / $114.98 / $165.79	Facility		$110.38	$114.98	$165.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $97.50 / $97.50	Professional		$73.12	$97.50	$97.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $232.18 / $62,999.37	Facility		$0.19	$232.18	$62,999.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.49 / $143.32 / $212.83	Professional		$107.49	$143.32	$212.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Facility		$143.31	$143.31	$143.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $214.12 / $214.12	Professional		$143.31	$214.12	$214.12
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 $132.82 / $140.50 / $140.50	Professional		$132.82	$140.50	$140.50