Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.40 / $104.40 / $104.40	Facility		$104.40	$104.40	$104.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.40 / $104.40 / $104.40	Professional		$104.40	$104.40	$104.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.22 / $112.22 / $184.60	Professional		$112.22	$112.22	$184.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.63 / $202.50 / $61,249.39	Facility		$131.63	$202.50	$61,249.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.63 / $172.13 / $202.50	Professional		$131.63	$172.13	$202.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $195.00 / $353.80	Professional		$112.50	$195.00	$353.80