Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.43 / $8,553.00 / $11,627.00	Facility		$206.43	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.53 / $206.43 / $695.66	Professional		$195.53	$206.43	$695.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.00 / $302.45 / $484.99	Professional		$263.00	$302.45	$484.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $206.40 / $258.00 / $309.60	Facility		$206.40	$258.00	$309.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $234.90 / $268.32 / $482.63	Professional		$234.90	$268.32	$482.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.69 / $343.69 / $343.69	Professional		$343.69	$343.69	$343.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00