Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $158.49 / $275.42	Facility		$93.33	$158.49	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $114.82	Professional		$75.86	$91.20	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $114.82 / $120.23	Facility		$102.33	$114.82	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $83.18 / $83.18	Professional		$45.71	$83.18	$83.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $1,737.80 / $46,773.51	Facility		$114.82	$1,737.80	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $2,137.96	Professional		$123.03	$154.88	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $181.97 / $181.97	Facility		$74.13	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $549.54 / $549.54	Professional		$165.96	$549.54	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $100.00	Professional		$63.10	$63.10	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $114.82	Professional		$47.86	$69.18	$114.82