Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $148.38	Facility		$80.00	$80.00	$148.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $102.79	Professional		$80.00	$80.00	$102.79
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 $110.50 / $110.50 / $110.50	Professional		$110.50	$110.50	$110.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00