Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $217.46 / $217.46	Facility		$60.00	$217.46	$217.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.97 / $217.46 / $217.46	Professional		$103.97	$217.46	$217.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $21.60 / $21.60	Facility		$21.60	$21.60	$21.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $6.30 / $225.00	Professional		$6.30	$6.30	$225.00
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 $97.00 / $97.00 / $97.00	Professional		$97.00	$97.00	$97.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00