Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $489.78 / $851.14	Facility		$295.12	$489.78	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $346.74	Professional		$239.88	$281.84	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $575.44	Professional		$239.88	$239.88	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $5,370.32 / $41,686.94	Facility		$416.87	$5,370.32	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $6,606.93	Professional		$389.05	$501.19	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $575.44 / $575.44	Facility		$229.09	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
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 $147.91 / $213.80 / $354.81	Professional		$147.91	$213.80	$354.81