Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $162.18	Professional		$151.36	$151.36	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $69.18	Professional		$66.07	$66.07	$69.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41,686.94 / $52,480.75 / $63,095.73	Facility		$41,686.94	$52,480.75	$63,095.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46,773.51 / $46,773.51 / $51,286.14	Professional		$46,773.51	$46,773.51	$51,286.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $302.00 / $302.00	Facility		$162.18	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $162.18 / $851.14	Professional		$154.88	$162.18	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $131.83 / $165.96	Professional		$125.89	$131.83	$165.96