Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $246.23 / $246.23	Facility		$105.00	$246.23	$246.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $246.23 / $246.23	Professional		$112.20	$246.23	$246.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $270.00 / $270.00	Facility		$270.00	$270.00	$270.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $250.00	Professional		$125.00	$125.00	$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 $76.62 / $76.62 / $214.73	Facility		$76.62	$76.62	$214.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.64 / $306.64 / $306.64	Professional		$306.64	$306.64	$306.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00