Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.56 / $97.56 / $110.20	Facility		$97.56	$97.56	$110.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $97.56 / $126.71	Professional		$21.00	$97.56	$126.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.60 / $48.60 / $48.60	Facility		$48.60	$48.60	$48.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $32.40 / $200.00	Professional		$32.40	$32.40	$200.00
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 $62.78 / $96.80 / $334.20	Professional		$62.78	$96.80	$334.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00