Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.83 / $299.83 / $315.00	Facility		$299.83	$299.83	$315.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.83 / $299.83 / $381.65	Professional		$299.83	$299.83	$381.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Facility		$300.00	$300.00	$300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $9.92 / $108.00	Professional		$9.92	$9.92	$108.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48,999.51 / $87,749.12 / $122,848.80	Facility		$48,999.51	$87,749.12	$122,848.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85,656.64 / $97,499.03 / $122,848.77	Professional		$85,656.64	$97,499.03	$122,848.77
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 $109.45 / $136.81 / $960.35	Professional		$109.45	$136.81	$960.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00