Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.54 / $7.54 / $9.43	Facility		$7.54	$7.54	$9.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $7.54 / $23.00	Professional		$7.54	$7.54	$23.00
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 $209.95 / $209.95 / $209.95	Professional		$209.95	$209.95	$209.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00