Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $225.00 / $300.00	Facility		$225.00	$225.00	$300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.98 / $300.00 / $750.00	Professional		$98.98	$300.00	$750.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.80 / $280.80 / $280.80	Facility		$280.80	$280.80	$280.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $500.00	Professional		$200.00	$200.00	$500.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48,999.51 / $48,999.51 / $48,999.51	Facility		$48,999.51	$48,999.51	$48,999.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42,349.58 / $42,349.58 / $42,349.58	Professional		$42,349.58	$42,349.58	$42,349.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.62 / $76.62 / $214.73	Facility		$76.62	$76.62	$214.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $130.61 / $1,362.48	Professional		$104.49	$130.61	$1,362.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00