Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.39 / $2,318.00 / $4,846.00	Facility		$50.39	$2,318.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.75 / $250.75 / $250.75	Professional		$250.75	$250.75	$250.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
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 $23,210.22 / $53,999.46 / $74,249.25	Facility		$23,210.22	$53,999.46	$74,249.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53,999.46 / $64,799.35 / $75,599.24	Professional		$53,999.46	$64,799.35	$75,599.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $17.27 / $39.50	Professional		$17.27	$17.27	$39.50