Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $275.42 / $478.63	Facility		$162.18	$275.42	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $194.98	Professional		$128.82	$158.49	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.18 / $13.18	Professional		$11.22	$13.18	$13.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $3,019.95 / $41,686.94	Facility		$234.42	$3,019.95	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $3,715.35	Professional		$218.78	$281.84	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $323.59 / $323.59	Facility		$128.82	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
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 $83.18 / $120.23 / $199.53	Professional		$83.18	$120.23	$199.53