Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.00 / $2,157.52 / $4,712.39	Professional		$610.00	$2,157.52	$4,712.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.00 / $541.00 / $1,205.00	Facility		$537.00	$541.00	$1,205.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $167.52 / $82,011.67 / $115,423.80	Facility		$167.52	$82,011.67	$115,423.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.60 / $67,499.33 / $88,086.62	Professional		$143.60	$67,499.33	$88,086.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $147.00 / $147.00	Professional		$147.00	$147.00	$147.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $67.59	Professional		$45.00	$45.00	$67.59