Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.69 / $100.69 / $100.69	Facility		$100.69	$100.69	$100.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $18.11	Professional		$18.11	$18.11	$18.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.55 / $203.55 / $203.55	Facility		$203.55	$203.55	$203.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.01 / $203.55 / $203.55	Professional		$173.01	$203.55	$203.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52,149.48 / $87,749.12 / $187,108.10	Facility		$52,149.48	$87,749.12	$187,108.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87,749.12 / $109,686.40 / $144,786.04	Professional		$87,749.12	$109,686.40	$144,786.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $9.88	Professional		$0.02	$0.02	$9.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00