Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.04 / $143.04 / $143.04	Facility		$143.04	$143.04	$143.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.04 / $143.04 / $148.40	Professional		$143.04	$143.04	$148.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.52 / $67.20 / $139.97	Facility		$64.52	$67.20	$139.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $83.00 / $83.00	Professional		$57.00	$83.00	$83.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41,999.58 / $55,999.44 / $69,999.30	Facility		$41,999.58	$55,999.44	$69,999.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.99 / $120.99 / $120.99	Professional		$120.99	$120.99	$120.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Facility		$151.97	$151.97	$151.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $227.08 / $227.08	Professional		$151.97	$227.08	$227.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00