Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.82 / $423.24 / $652.39	Facility		$227.82	$423.24	$652.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.79 / $634.40 / $1,559.20	Professional		$596.79	$634.40	$1,559.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11,100.69 / $47,249.52 / $47,249.53	Facility		$11,100.69	$47,249.52	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34,999.65 / $38,812.11 / $47,249.53	Professional		$34,999.65	$38,812.11	$47,249.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $163.03	Facility		$96.58	$96.58	$163.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $45.00 / $3,000.00	Professional		$32.34	$45.00	$3,000.00