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 / $112.20	Professional		$75.86	$91.20	$112.20
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 $109.65 / $128.82 / $128.82	Professional		$109.65	$128.82	$128.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $1,698.24 / $41,686.94	Facility		$134.90	$1,698.24	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $2,137.96	Professional		$125.89	$158.49	$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 $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
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 Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $114.82	Professional		$47.86	$69.18	$114.82