Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $10.58 / $10.58	Facility		$10.58	$10.58	$10.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $10.58 / $38.86	Professional		$10.58	$10.58	$38.86
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 $6.30 / $6.30 / $150.00	Professional		$6.30	$6.30	$150.00
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 $204.44 / $255.54 / $406.00	Professional		$204.44	$255.54	$406.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00