Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $255.00	Facility		$120.00	$120.00	$255.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $124.50	Professional		$120.00	$120.00	$124.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.50 / $147.40 / $250.00	Facility		$141.50	$147.40	$250.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.75 / $275.00 / $275.00	Professional		$233.75	$275.00	$275.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $556.14 / $62,999.37 / $69,999.30	Facility		$556.14	$62,999.37	$69,999.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $183.75 / $248.06	Professional		$127.50	$183.75	$248.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $190.50 / $190.50	Professional		$127.50	$190.50	$190.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $125.00	Professional		$125.00	$125.00	$125.00