Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $48.75 / $48.75	Facility		$48.75	$48.75	$48.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $48.75 / $122.46	Professional		$48.75	$48.75	$122.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $50.00 / $75.25	Professional		$42.50	$50.00	$75.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47,999.52 / $82,011.67 / $115,423.80	Facility		$47,999.52	$82,011.67	$115,423.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60,749.39 / $78,974.21 / $97,199.03	Professional		$60,749.39	$78,974.21	$97,199.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $283.56 / $432.80	Professional		$77.78	$283.56	$432.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $45.00 / $65.00	Professional		$32.34	$45.00	$65.00