Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $147.91 / $151.36	Professional		$144.54	$147.91	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41,686.94 / $51,286.14 / $56,234.13	Facility		$41,686.94	$51,286.14	$56,234.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $51,286.14	Professional		$151.36	$151.36	$51,286.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $288.40 / $288.40	Facility		$151.36	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $812.83	Professional		$151.36	$151.36	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $158.49	Professional		$44.67	$44.67	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $181.97	Professional		$125.89	$154.88	$181.97