Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.43 / $315.43 / $455.00	Facility		$315.43	$315.43	$455.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.43 / $315.43 / $455.00	Professional		$315.43	$315.43	$455.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $162.00 / $162.00	Facility		$162.00	$162.00	$162.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $200.00 / $250.00	Professional		$42.34	$200.00	$250.00
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 $24.31 / $24.31 / $68.13	Facility		$24.31	$24.31	$68.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $3.10 / $756.53	Professional		$2.48	$3.10	$756.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00