Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $350.00 / $1,239.00	Facility		$350.00	$350.00	$1,239.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $350.00	Professional		$350.00	$350.00	$350.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $221.31 / $312.55	Professional		$190.00	$221.31	$312.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $332.34 / $432.05 / $581.60	Facility		$332.34	$432.05	$581.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $216.02 / $282.49 / $348.96	Professional		$216.02	$282.49	$348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $246.18 / $270.79 / $283.10	Professional		$246.18	$270.79	$283.10
United Facility/Professional Professional Modifier Low / Median / High Price $4,790.84 / $4,790.84 / $4,790.84	Professional		$4,790.84	$4,790.84	$4,790.84