Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $204.17 / $363.08	Facility		$123.03	$204.17	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $144.54	Professional		$100.00	$120.23	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $39.81	Professional		$26.30	$31.62	$39.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $2,187.76 / $41,686.94	Facility		$177.83	$2,187.76	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $2,754.23	Professional		$165.96	$208.93	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $239.88 / $239.88	Facility		$97.72	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $151.36	Professional		$63.10	$89.13	$151.36