Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.98 / $90.98 / $105.00	Facility		$90.98	$90.98	$105.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $105.00 / $120.00	Professional		$81.52	$105.00	$120.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.98 / $49.98 / $49.98	Facility		$49.98	$49.98	$49.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $33.32 / $200.00	Professional		$33.32	$33.32	$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 $105.73 / $132.16 / $411.32	Professional		$105.73	$132.16	$411.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00