Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.12 / $11.12 / $344.03	Facility		$11.12	$11.12	$344.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $11.12 / $16.73	Professional		$8.31	$11.12	$16.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $16.50 / $29.15	Professional		$15.00	$16.50	$29.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12,659.72 / $12,659.72 / $15,808.48	Facility		$12,659.72	$12,659.72	$15,808.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $60.00	Professional		$50.00	$50.00	$60.00