Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $150.00 / $150.00	Professional		$52.80	$150.00	$150.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $248.40 / $248.40 / $248.40	Facility		$248.40	$248.40	$248.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.74 / $104.74 / $104.74	Professional		$104.74	$104.74	$104.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00