Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $251.19 / $446.68	Facility		$151.36	$251.19	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $177.83	Professional		$123.03	$147.91	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $229.09	Professional		$194.98	$229.09	$229.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $2,818.38 / $41,686.94	Facility		$218.78	$2,818.38	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $3,467.37	Professional		$204.17	$257.04	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $295.12 / $295.12	Facility		$120.23	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $891.25 / $891.25	Professional		$213.80	$891.25	$891.25
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 $77.62 / $112.20 / $186.21	Professional		$77.62	$112.20	$186.21