Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.29 / $517.29 / $550.00	Facility		$517.29	$517.29	$550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.29 / $517.29 / $636.39	Professional		$517.29	$517.29	$636.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $5.18 / $5.18	Facility		$5.18	$5.18	$5.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $5.18 / $400.00	Professional		$5.18	$5.18	$400.00
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.73 / $214.73 / $214.73	Facility		$214.73	$214.73	$214.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00