Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.97 / $854.40 / $885.02	Facility		$79.97	$854.40	$885.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $78.42 / $3,798.96	Professional		$75.00	$78.42	$3,798.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
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 $121,498.80 / $121,498.80 / $152,998.50	Facility		$121,498.80	$121,498.80	$152,998.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94,499.06 / $130,003.70 / $182,248.18	Professional		$94,499.06	$130,003.70	$182,248.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.28 / $177.50 / $455.71	Facility		$105.28	$177.50	$455.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.77 / $125.97 / $213.00	Professional		$100.77	$125.97	$213.00